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NPI Code Detail

MEDICARE: MRS. JILL ERIN BOUNDS MA, LPC, LMFT

MEDICARE: MRS. JILL ERIN BOUNDS MA, LPC, LMFT
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 Counselor61277TX

Other Identifiers

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

General Provider Information

NPI Number : 1043498157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JILL ERIN BOUNDS MA, LPC, LMFT
Provider Business Mailing Address
First Line : 425 ANGLER DR
Second Line :
City : CROWLEY
State : TX
Zip : 76036-6401
Country : US
Telephone Number : 432-563-4144
Fax Number : 817-255-2657
Provider Business Practice Location Address
First Line : 3131 SANGUINET ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-5336
Country : US
Telephone Number : 817-255-2652
Fax Number : 817-255-2657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 06/12/2013

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