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NPI Code Detail

MEDICARE: JANETTE E. HARGROVE

MEDICARE: JANETTE E. HARGROVE
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 Counselor91068TX

General Provider Information

NPI Number : 1336878289
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANETTE E. HARGROVE
Provider Business Mailing Address
First Line : 215 N MOORE RD APT 8002
Second Line :
City : COPPELL
State : TX
Zip : 75019-3039
Country : US
Telephone Number : 254-967-6289
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N CORINTH ST STE 109
Second Line :
City : CORINTH
State : TX
Zip : 76208-5444
Country : US
Telephone Number : 254-967-6289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2022
Last Update Date : 05/15/2025

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Directions to “ JANETTE E. HARGROVE ” Practice Location

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