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General NPI Number Information
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NPI Number | 1750032397
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Entity Type | Individual
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Provider Name | CHRISTOPHER LEE CREATURO MA, LPC
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Gender | Male
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 11120 WURZBACH RD STE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78230-2426
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Country | US
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Telephone | 503-568-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 2839 REDLAND TRL
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City | SAN ANTONIO
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State | TX
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Zip | 78259-3544
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Country | US
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Telephone | 843-860-8817
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C7683
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 93305
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License Number State | TX
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