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NPI Code Detail

MEDICARE: 2020 COUNSELING LLC

MEDICARE: 2020 COUNSELING 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1215553680
Entity Type Code : Organization
Provider Name (Legal Business Name) : 2020 COUNSELING LLC
Provider Business Mailing Address
First Line : 4106 KELLY GLENN LN
Second Line :
City : ARLINGTON
State : TX
Zip : 76017-4140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12959 JUPITER RD STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75238-3200
Country : US
Telephone Number : 817-903-0200
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : KATY KONG
Credential :
Telephone Number : 817-903-0200
Provider Enumeration Date : 06/22/2020
Last Update Date : 06/22/2020

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Directions to “2020 COUNSELING LLC ” Practice Location

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