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NPI Code Detail

MEDICARE: DARING VENTURES COUNSELING, COACHING, AND CONSULTATION, LLC

MEDICARE: DARING VENTURES COUNSELING, COACHING, AND CONSULTATION, LLC
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 Counselor

General Provider Information

NPI Number : 1073193470
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARING VENTURES COUNSELING, COACHING, AND CONSULTATION, LLC
Provider Business Mailing Address
First Line : 3100 EDLOE ST STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6030
Country : US
Telephone Number : 832-270-8844
Fax Number :
Provider Business Practice Location Address
First Line : 3100 EDLOE ST STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77027-6030
Country : US
Telephone Number : 832-270-8844
Fax Number :
Authorized Official
Title or Position : FOUNDER & PRESIDENT
Name : DR. JACOB PORTER
Credential : LPC
Telephone Number : 832-270-8844
Provider Enumeration Date : 04/09/2021
Last Update Date : 04/09/2021

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Directions to “DARING VENTURES COUNSELING, COACHING, AND CONSULTATION, LLC ” Practice Location

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