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General NPI Number Information
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NPI Number | 1992216956
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Entity Type | Individual
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Provider Name | KATRINA YVONNE DELONEY LPC-S
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2150 W NORTHWEST HWY STE 114 #1049
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City | GRAPEVINE
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State | TX
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Zip | 76051-7849
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Country | US
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Telephone | 817-601-5266
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 W NORTHWEST HWY STE 114 #1049
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City | GRAPEVINE
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State | TX
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Zip | 76051-7849
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 73474
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 73474
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 73474
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License Number State | TX
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