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NPI Code Detail

MEDICARE: JASON A PEARCE LPC

MEDICARE: JASON A PEARCE 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 Counselor81515TX
2101YP2500XProfessional Counselor81515TX

General Provider Information

NPI Number : 1033805429
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON A PEARCE LPC
Provider Business Mailing Address
First Line : 3201 MCCURDY ST
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2905
Country : US
Telephone Number : 512-499-8994
Fax Number :
Provider Business Practice Location Address
First Line : 505 E HUNTLAND DR STE 320
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3741
Country : US
Telephone Number : 512-201-4501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2023
Last Update Date : 04/27/2023

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Directions to “ JASON A PEARCE LPC” Practice Location

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