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General NPI Number Information
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NPI Number | 1780499236
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Entity Type | Organization
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Legal Business Name | PATHWAYS RESTORED COUNSELING
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 1913 DUTTON DR STE 306
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City | SAN MARCOS
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State | TX
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Zip | 78666-4975
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Country | US
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Telephone | 512-395-4365
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 DUTTON DR STE 306
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City | SAN MARCOS
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State | TX
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Zip | 78666-4975
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | ALEXANDRA HOUSTON
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Credential | LPC-A
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Telephone | 512-395-4365
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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 |
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License Number State |
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