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General NPI Number Information
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NPI Number | 1982234639
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Entity Type | Individual
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Provider Name | JULIE WALLER
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 770 S POST OAK LN STE 320
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City | HOUSTON
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State | TX
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Zip | 77056-1938
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Country | US
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Telephone | 714-274-7577
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Fax | 714-274-7578
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Provider Business Mailing Address
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Address Line | 8 TEWA CT
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City | SANDIA PARK
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State | NM
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Zip | 87047-8523
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Country | US
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Telephone | 281-541-2189
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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 | 86614
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License Number State | TX
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