MEDICARE: MRS. JANICE D DOLAN LCDC

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	0000047	TX
2	171M00000X	Case Manager/Care Coordinator	2531-A	TX

General Provider Information

NPI Number	:	1366778110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANICE D DOLAN LCDC

Provider Business Mailing Address
First Line	:	214 BILLINGS ST
Second Line	:	SUITE 240
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5404
Country	:	US
Telephone Number	:	817-652-1004
Fax Number	:	817-652-1016

Provider Business Practice Location Address
First Line	:	214 BILLINGS ST
Second Line	:	SUITE 240
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5404
Country	:	US
Telephone Number	:	817-652-1004
Fax Number	:	817-652-1016

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

Provider Enumeration Date	:	10/29/2009
Last Update Date	:	02/08/2026

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