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General NPI Number Information
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NPI Number | 1841677481
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Entity Type | Individual
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Provider Name | LINA URIBE DE REEVES MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 472 PARK GROVE DR
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City | KATY
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State | TX
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Zip | 77450-1571
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Country | US
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Telephone | 832-303-7909
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Fax |
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Provider Business Mailing Address
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Address Line | 21131 ROYAL VILLA DR
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City | KATY
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State | TX
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Zip | 77449-4397
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Country | US
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Telephone | 832-920-0287
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 78038
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License Number State | TX
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