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NPI Code Detail

MEDICARE: JAMES LEO BEGNAUD LCDC

MEDICARE:   JAMES LEO BEGNAUD  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
1101YA0400XAddiction (Substance Use Disorder) Counselor8637TX

General Provider Information

NPI Number : 1477106896
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES LEO BEGNAUD LCDC
Provider Business Mailing Address
First Line : 2548 MEMORIAL BLVD
Second Line :
City : PORT ARTHUR
State : TX
Zip : 77640-2825
Country : US
Telephone Number : 409-983-1161
Fax Number : 409-209-0537
Provider Business Practice Location Address
First Line : 103 W GIBSON ST STE 110
Second Line :
City : JASPER
State : TX
Zip : 75951-4970
Country : US
Telephone Number : 409-489-9103
Fax Number : 409-209-0537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ JAMES LEO BEGNAUD LCDC” Practice Location

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