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General NPI Number Information
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NPI Number | 1992342166
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Entity Type | Individual
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Provider Name | VA-SHELLA EASTON LCDC, LPC-INTERN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1214 N POST OAK RD STE 100
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City | HOUSTON
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State | TX
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Zip | 77055-7236
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Country | US
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Telephone | 713-686-9194
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Fax | 713-686-9413
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Provider Business Mailing Address
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Address Line | 1200 POST OAK BLVD APT 602
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City | HOUSTON
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State | TX
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Zip | 77056-3175
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Country | US
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Telephone | 281-630-5869
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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 | 79904
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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 | 79904
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License Number State | TX
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