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General NPI Number Information
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NPI Number | 1962724849
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Entity Type | Individual
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Provider Name | WENDY COLLEEN HOLDER M.ED., LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 506 GLASCOW ST
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City | VICTORIA
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State | TX
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Zip | 77904-1406
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Country | US
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Telephone | 361-576-3385
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Fax | 361-573-7425
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Provider Business Mailing Address
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Address Line | 506 GLASCOW ST
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City | VICTORIA
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State | TX
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Zip | 77904-1406
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Country | US
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Telephone | 361-576-3385
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Fax | 361-573-7425
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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 | 10550
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 63960
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License Number State |
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