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NPI Code Detail

MEDICARE: RHONDA RHODES TRENT LPC

MEDICARE:   RHONDA RHODES TRENT  LPC
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 Counselor15435TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
115435OTHERTXLICENSE NUMBER

General Provider Information

NPI Number : 1710951041
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA RHODES TRENT LPC
Provider Business Mailing Address
First Line : 1602 10TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2607
Country : US
Telephone Number : 806-766-0310
Fax Number : 806-744-9580
Provider Business Practice Location Address
First Line : 1602 10TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2607
Country : US
Telephone Number : 806-766-0310
Fax Number : 806-744-9580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

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Directions to “ RHONDA RHODES TRENT LPC” Practice Location

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