MEDICARE: MARGARET CRITES BARRETT LPC-A

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
1	101YP2500X	Professional Counselor	94659	TX

General Provider Information

NPI Number	:	1760242002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET CRITES BARRETT LPC-A

Provider Business Mailing Address
First Line	:	4526 REIGER AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1232
Country	:	US
Telephone Number	:	620-262-1272
Fax Number	:

Provider Business Practice Location Address
First Line	:	729 N BISHOP AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-4340
Country	:	US
Telephone Number	:	210-478-7567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2024
Last Update Date	:	03/21/2024

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