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General NPI Number Information
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NPI Number | 1992090245
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Entity Type | Individual
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Provider Name | SAO SEREY-RITHY LORN LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 411 DURHAM DR
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City | HOUSTON
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State | TX
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Zip | 77007-7240
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Country | US
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Telephone | 713-861-4849
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70068
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City | HOUSTON
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State | TX
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Zip | 77270-0068
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Country | US
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Telephone | 713-861-4849
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 65667
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201489
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License Number State | TX
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