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General NPI Number Information
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NPI Number | 1871655563
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Entity Type | Individual
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Provider Name | BRENDA SUZANNE SIKKEMA-SYKES MS, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 704 B 5TH STREET
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City | MARBLE FALLS
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State | TX
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Zip | 78654
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Country | US
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Telephone | 325-956-9650
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Fax | 325-388-5283
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Provider Business Mailing Address
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Address Line | 874 SANDY MOUNTAIN DR
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City | SUNRISE BEACH
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State | TX
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Zip | 78643-9257
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Country | US
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Telephone | 325-956-9650
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Fax | 325-388-5283
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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 | 13722
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License Number State | TX
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