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NPI Code Detail

MEDICARE: ABIGAIL DAUDELIN

MEDICARE: ABIGAIL DAUDELIN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor16886TX
21041C0700XClinical Social Worker105178TX

General Provider Information

NPI Number : 1982563474
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL DAUDELIN
Provider Business Mailing Address
First Line : 8222 DOUGLAS AVE STE 375
Second Line :
City : DALLAS
State : TX
Zip : 75225-5973
Country : US
Telephone Number : 469-571-1328
Fax Number :
Provider Business Practice Location Address
First Line : 8222 DOUGLAS AVE STE 375
Second Line :
City : DALLAS
State : TX
Zip : 75225-5973
Country : US
Telephone Number : 214-905-5090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ ABIGAIL DAUDELIN ” Practice Location

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