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General NPI Number Information
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NPI Number | 1972046514
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Entity Type | Individual
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Provider Name | MYSTRI LEA HIPSHER MA, LPC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 4243 E PIEDRAS DR BLDG SUITE100
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1421
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Country | US
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Telephone | 210-733-7118
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Fax | 210-775-6601
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Provider Business Mailing Address
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Address Line | 4243 E PIEDRAS DR BLDG SUITE100
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City | SAN ANTONIO
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State | TX
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Zip | 78228-1421
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Country | US
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Telephone | 210-733-7118
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Fax | 210-775-6601
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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 | 75558
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License Number State | TX
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