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NPI Code Detail

MEDICARE: LAURA KAY MCDONALD

MEDICARE: LAURA KAY MCDONALD
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 Counselor13805TX

General Provider Information

NPI Number : 1669005187
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA KAY MCDONALD
Provider Business Mailing Address
First Line : 12959 JUPITER RD STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75238-3200
Country : US
Telephone Number : 214-221-0132
Fax Number : 214-221-0242
Provider Business Practice Location Address
First Line : 12959 JUPITER RD STE 140
Second Line :
City : DALLAS
State : TX
Zip : 75238-3200
Country : US
Telephone Number : 214-221-0132
Fax Number : 214-221-0242
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 02/13/2020

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Directions to “ LAURA KAY MCDONALD ” Practice Location

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