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General NPI Number Information
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NPI Number | 1760044150
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Entity Type | Individual
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Provider Name | YOLANDA CORREA
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Gender | Female
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 2939 W WOODLAWN AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78228-5015
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Country | US
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Telephone | 210-503-4500
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Fax | 210-979-0249
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Provider Business Mailing Address
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Address Line | 6183 JOHN CHAPMAN
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2271
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Country | US
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Telephone | 707-363-1060
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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 | 88898
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License Number State | TX
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