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Individual
TERRELL IVY
Active
Individual
TERRELL IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CPSSP
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
100551
TX
101YP2500X
Professional Counselor
3329
MS
175T00000X
Peer Specialist
468
MS
Other
Enumeration date
10/01/2025
Last updated
01/13/2026
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