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General NPI Number Information
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NPI Number | 1821941311
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Entity Type | Individual
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Provider Name | SIGOURNEY DE LA FUENTE GARCIA LPC-A
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Gender | Female
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 560 N MAIN ST STE 2
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City | SALADO
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State | TX
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Zip | 76571-5845
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Country | US
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Telephone | 254-599-6154
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 WALES DR APT 1113
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City | KILLEEN
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State | TX
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Zip | 76549-1015
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Country | US
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Telephone | 254-599-6154
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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 | 94586
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License Number State | TX
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