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General NPI Number Information
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NPI Number | 1992286041
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Entity Type | Individual
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Provider Name | CHRISTINA MICHELLE NEAL M.A., LPC-S
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Gender | Female
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Dates
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Enumeration Date | 08/27/2018
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2003 RICKETY LN
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City | TYLER
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State | TX
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Zip | 75703-1706
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Country | US
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Telephone | 903-720-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 850 STATE HIGHWAY 42 N
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City | OVERTON
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State | TX
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Zip | 75684-7357
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Country | US
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Telephone | 903-720-2272
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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 | 76209
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License Number State | TX
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