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NPI Code Detail

MEDICARE: KAITLIN PRAESEL LPC

MEDICARE: KAITLIN PRAESEL LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor79410TX

General Provider Information

NPI Number : 1174137418
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN PRAESEL LPC
Provider Business Mailing Address
First Line : PO BOX 890
Second Line :
City : WACO
State : TX
Zip : 76703-0890
Country : US
Telephone Number : 254-752-3451
Fax Number : 254-756-3133
Provider Business Practice Location Address
First Line : 2800 LYLE AVE
Second Line :
City : WACO
State : TX
Zip : 76708-2680
Country : US
Telephone Number : 254-752-3451
Fax Number : 254-756-3133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 12/05/2025

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Directions to “ KAITLIN PRAESEL LPC” Practice Location

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