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NPI 1912901349

NPI 1912901349 : TOM W CAPO MA, LPC, LMFT, LCDC : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1912901349
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    Entity Type          |    Individual 
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    Provider Name        |    TOM W CAPO MA, LPC, LMFT, LCDC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    18333 EGRET BAY BLVD STE 305
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77058-3265
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    Country              |    US
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    Telephone            |    281-333-5740
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    Fax                  |    281-333-4013
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Provider Business Mailing Address
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    Address Line         |    18333 EGRET BAY BLVD STE 305
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77058-3265
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    Country              |    US
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    Telephone            |    281-333-5740
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    Fax                  |    281-333-4013
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    2008
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    09975
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    001751-041825
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    License Number State |    TX
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