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General NPI Number Information
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NPI Number | 1811519283
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Entity Type | Individual
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Provider Name | TONYA AMANDA SHIVON WRIGHT-HAMILTON MA, LPC, CMHC, NCC
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Gender | Female
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 204 STONEY BROOKE RD
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City | JARRELL
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State | TX
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Zip | 76537-2191
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Country | US
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Telephone | 737-667-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 204 STONEY BROOKE RD
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City | JARRELL
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State | TX
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Zip | 76537-2191
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Country | US
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Telephone | 737-667-4057
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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 | 78531
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License Number State | TX
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