MEDICARE: MR. ALBERT W JAMESON 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	2257	TX
2	101YP2500X	Professional Counselor	13298	TX

General Provider Information

NPI Number	:	1336141506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALBERT W JAMESON LPC

Provider Business Mailing Address
First Line	:	333 THROCKMORTON ST
Second Line	:	#909
City	:	FORT WORTH
State	:	TX
Zip	:	76102-7421
Country	:	US
Telephone Number	:	817-845-0510
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 THROCKMORTON ST
Second Line	:	#909
City	:	FORT WORTH
State	:	TX
Zip	:	76102-7421
Country	:	US
Telephone Number	:	817-845-0510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/11/2025

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