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General NPI Number Information
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NPI Number | 1902258924
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Entity Type | Individual
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Provider Name | SHAUNA HOLDER M. ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2640 E LEAGUE CITY PKWY STE 104-4128
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City | LEAGUE CITY
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State | TX
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Zip | 77573-3368
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Country | US
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Telephone | 361-489-1981
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Fax | 361-214-3768
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Provider Business Mailing Address
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Address Line | 8806 N NAVARRO ST STE 600-231
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City | VICTORIA
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State | TX
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Zip | 77904-1427
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Country | US
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Telephone | 361-489-1981
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Fax | 361-214-3768
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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 | 83206
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License Number State | TX
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