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General NPI Number Information
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NPI Number | 1912860974
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Entity Type | Individual
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Provider Name | JAMES MATTHEW ALLEN V LPC-A
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Gender |
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Dates
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Enumeration Date | 12/06/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 9659 N SAM HOUSTON PKWY E
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City | HUMBLE
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State | TX
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Zip | 77396-1529
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Country | US
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Telephone | 346-298-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 19639 TELLER BLVD
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City | SPRING
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State | TX
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Zip | 77388-6128
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Country | US
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Telephone |
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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 | 98569
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License Number State | TX
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