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NPI Code Detail

MEDICARE: MR. JAMES ALAN RUNNELS LPC

MEDICARE: MR. JAMES ALAN RUNNELS 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
1101YM0800XMental Health Counselor14354TX

General Provider Information

NPI Number : 1801163217
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES ALAN RUNNELS LPC
Provider Business Mailing Address
First Line : 416 E MAIN ST
Second Line :
City : DENISON
State : TX
Zip : 75021-2822
Country : US
Telephone Number : 903-465-6344
Fax Number : 903-465-5943
Provider Business Practice Location Address
First Line : 416 E MAIN ST
Second Line :
City : DENISON
State : TX
Zip : 75021-2822
Country : US
Telephone Number : 903-465-6344
Fax Number : 903-465-5943
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2011
Last Update Date : 11/09/2023

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