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NPI Code Detail

MEDICARE: MADELINE JAMES LPC ASSOCIATE

MEDICARE:   MADELINE  JAMES  LPC ASSOCIATE
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 Counselor87509TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
187509OTHERTXTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

General Provider Information

NPI Number : 1548989270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE JAMES LPC ASSOCIATE
Provider Business Mailing Address
First Line : 2608 SOUTHCREST DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76016-1449
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 610 S JENNINGS AVE STE C
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3209
Country : US
Telephone Number : 214-728-1048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2022
Last Update Date : 08/25/2022

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Directions to “ MADELINE JAMES LPC ASSOCIATE” Practice Location

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