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NPI Code Detail

MEDICARE: COUNSELING RESOURCE CENTER, PLLC

MEDICARE: COUNSELING RESOURCE CENTER, PLLC
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 Counselor61425TX

General Provider Information

NPI Number : 1073770921
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNSELING RESOURCE CENTER, PLLC
Provider Business Mailing Address
First Line : 111 HOUSTON ST
Second Line :
City : TOMBALL
State : TX
Zip : 77375-4759
Country : US
Telephone Number : 281-255-9922
Fax Number : 281-255-9064
Provider Business Practice Location Address
First Line : 111 HOUSTON ST
Second Line :
City : TOMBALL
State : TX
Zip : 77375-4759
Country : US
Telephone Number : 281-255-9922
Fax Number : 281-255-9064
Authorized Official
Title or Position : PRESIDENT
Name : MRS. ANN MARIE BOLTON
Credential : LPC
Telephone Number : 281-255-9922
Provider Enumeration Date : 05/19/2008
Last Update Date : 09/22/2011

Similar Medicare Providers

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Directions to “COUNSELING RESOURCE CENTER, PLLC ” Practice Location

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