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General NPI Number Information
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NPI Number | 1922154004
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Entity Type | Individual
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Provider Name | RICHARD AMISS LPC, NCC
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 1426 E MAIN ST STE 300-400
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-5308
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Country | US
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Telephone | 830-992-3725
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Fax | 830-992-3724
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Provider Business Mailing Address
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Address Line | PO BOX 669
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City | MENARD
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State | TX
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Zip | 76859-0669
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Country | US
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Telephone | 325-869-5500
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Fax | 830-992-3724
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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 | 16808
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License Number State | TX
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