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NPI 1972310993

NPI 1972310993 : JONATHAN WILLIAM FELUX LPC-A : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1972310993
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    Entity Type          |    Individual 
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    Provider Name        |    JONATHAN WILLIAM FELUX LPC-A
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/12/2024
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    Last Update Date     |    12/12/2024
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Provider Practice Location Address
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    Address Line         |    12227 HUEBNER RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-1236
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    Country              |    US
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    Telephone            |    830-730-6090
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12119 VANCE JACKSON RD APT 1316 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-6053
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    Country              |    US
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    Telephone            |    210-880-4318
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    94957
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    License Number State |    TX
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