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General NPI Number Information
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NPI Number | 1932731056
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Entity Type | Individual
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Provider Name | KALENA NICOLE TERRY
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 401 W 25TH ST
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City | HOUSTON
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State | TX
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Zip | 77008-4611
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Country | US
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Telephone | 346-298-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 12330 N GESSNER RD APT 532
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City | HOUSTON
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State | TX
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Zip | 77064-7644
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203597
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License Number State | TX
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