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General NPI Number Information
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NPI Number | 1851817456
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Entity Type | Individual
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Provider Name | MATTHEW DRUMM M.A., LPC-INTERN
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Gender | Male
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 610 UPTOWN BLVD # 2
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City | CEDAR HILL
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State | TX
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Zip | 75104-3527
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Country | US
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Telephone | 844-824-8775
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 PARKVIEW DR STE 250
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City | FORT WORTH
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State | TX
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Zip | 76102-5856
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Country | US
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Telephone | 682-990-6242
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Fax | 817-612-6768
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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 | 73098
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License Number State | TX
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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 | 73098
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License Number State | TX
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