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General NPI Number Information
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NPI Number | 1861141285
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Entity Type | Individual
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Provider Name | MELISSA RECASNER
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 25722 KINGSLAND BLVD STE 112
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City | KATY
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State | TX
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Zip | 77494-2641
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Country | US
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Telephone | 832-934-9036
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Fax |
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Provider Business Mailing Address
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Address Line | 20239 GOLDEN MESA DR
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City | KATY
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State | TX
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Zip | 77449-4605
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Country | US
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Telephone | 979-406-0632
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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 | 86714
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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 |
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License Number State |
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