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Individual
MRS. KATRINA LOUISE SPIVEY
Active
Individual
MRS. KATRINA LOUISE SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
74567
TX
101YP2500X
Professional Counselor
Primary
74567
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409254601
—
TX
Enumeration date
11/27/2018
Last updated
05/31/2024
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