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NPI Code Detail

MEDICARE: SUZANNE ROSE DRAPER LPC

MEDICARE: SUZANNE ROSE DRAPER 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
1101YM0800XMental Health Counselor64326TX

General Provider Information

NPI Number : 1043515760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE ROSE DRAPER LPC
Provider Business Mailing Address
First Line : 416 EAST MAIN STREET
Second Line :
City : DENISON
State : TX
Zip : 75021
Country : US
Telephone Number : 903-465-6344
Fax Number : 903-465-5943
Provider Business Practice Location Address
First Line : 416 E MAIN ST
Second Line :
City : DENISON
State : TX
Zip : 75021-2822
Country : US
Telephone Number : 903-465-6344
Fax Number : 903-465-5943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2011
Last Update Date : 01/12/2011

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Directions to “ SUZANNE ROSE DRAPER LPC” Practice Location

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