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NPI Code Detail

MEDICARE: ASHLI BRYNNE JANECKA

MEDICARE: ASHLI BRYNNE JANECKA
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 Counselor95535TX

General Provider Information

NPI Number : 1255178448
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLI BRYNNE JANECKA
Provider Business Mailing Address
First Line : 5665 DALLAS PKWY STE 150
Second Line :
City : FRISCO
State : TX
Zip : 75034-7378
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5665 DALLAS PKWY STE 150
Second Line :
City : FRISCO
State : TX
Zip : 75034-7378
Country : US
Telephone Number : 469-402-1292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2024
Last Update Date : 07/13/2024

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Directions to “ ASHLI BRYNNE JANECKA ” Practice Location

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