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General NPI Number Information
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NPI Number | 1922727007
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Entity Type | Individual
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Provider Name | CATHERINE A STEPHENS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/23/2022
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Last Update Date | 08/23/2022
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Provider Practice Location Address
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Address Line | 2120 AVENUE P APT 1
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City | GALVESTON
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State | TX
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Zip | 77550-7989
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Country | US
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Telephone | 409-206-0320
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2054
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City | GALVESTON
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State | TX
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Zip | 77553-2054
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Country | US
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Telephone | 409-206-0320
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 83686
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License Number State | TX
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