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General NPI Number Information
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NPI Number | 1922736610
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Entity Type | Individual
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Provider Name | CHRISTOPHER MATHEW BARELA MA, LMFT-A
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Gender | Male
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 414 N MAIN ST STE 103
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City | GRAPEVINE
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State | TX
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Zip | 76051-3395
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Country | US
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Telephone | 817-768-6841
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 MONTROSE DR
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City | FORNEY
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State | TX
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Zip | 75126-3594
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Country | US
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Telephone | 719-644-9543
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204127
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License Number State | TX
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