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NPI 1720556632

NPI 1720556632 : MELISSA SALAS LPC : BURLESON, TX

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General NPI Number Information
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    NPI Number           |    1720556632
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA SALAS LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/08/2018
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    Last Update Date     |    10/09/2025
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Provider Practice Location Address
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    Address Line         |    785 W HIDDEN CREEK PKWY # 2101D 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-5874
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    Country              |    US
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    Telephone            |    817-874-6134
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1113 SW HILLSIDE DR 
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    City                 |    BURLESON
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    State                |    TX
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    Zip                  |    76028-5663
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    Country              |    US
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    Telephone            |    817-874-6134
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    77416
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    License Number State |    TX
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