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NPI Code Detail

MEDICARE: JOSHUA CRAIG LPC

MEDICARE:   JOSHUA  CRAIG  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 Counselor68738TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2845LQFOTHERTXBCBS OF TEXAS

General Provider Information

NPI Number : 1881045938
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA CRAIG LPC
Provider Business Mailing Address
First Line : 7535 OAKMONT BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4236
Country : US
Telephone Number : 800-972-0643
Fax Number :
Provider Business Practice Location Address
First Line : 7535 OAKMONT BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76132
Country : US
Telephone Number : 800-972-0643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2016
Last Update Date : 07/16/2018

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Directions to “ JOSHUA CRAIG LPC” Practice Location

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