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NPI Code Detail

MEDICARE: MS. JOSIE ELIZABETH ESTES LPC

MEDICARE:  MS. JOSIE ELIZABETH ESTES  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
12084P0800XPsychiatry PhysicianLPC14562TX

General Provider Information

NPI Number : 1720045784
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOSIE ELIZABETH ESTES LPC
Provider Business Mailing Address
First Line : 7525 JOHN T WHITE
Second Line :
City : FORT WORTH
State : TX
Zip : 76120
Country : US
Telephone Number : 817-429-4769
Fax Number : 817-457-7906
Provider Business Practice Location Address
First Line : 7525 JOHN T WHITE
Second Line :
City : FORT WORTH
State : TX
Zip : 76120
Country : US
Telephone Number : 817-429-4769
Fax Number : 817-457-7906
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 07/08/2007

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Directions to “ MS. JOSIE ELIZABETH ESTES LPC” Practice Location

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