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NPI Code Detail

MEDICARE: JORDAN ESTELLE COMBS

MEDICARE: JORDAN ESTELLE COMBS
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 Counselor89454TX

General Provider Information

NPI Number : 1891566147
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN ESTELLE COMBS
Provider Business Mailing Address
First Line : 6300 STONEWOOD DR STE 106B
Second Line :
City : PLANO
State : TX
Zip : 75024-5285
Country : US
Telephone Number : 405-633-2787
Fax Number :
Provider Business Practice Location Address
First Line : 701 E 15TH ST STE 101
Second Line :
City : PLANO
State : TX
Zip : 75074-0708
Country : US
Telephone Number : 405-633-2787
Fax Number : 972-739-3535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2024
Last Update Date : 02/21/2024

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Directions to “ JORDAN ESTELLE COMBS ” Practice Location

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