MEDICARE: SVETA AHUJA 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
1	101YP2500X	Professional Counselor	72066	TX

General Provider Information

NPI Number	:	1053950089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SVETA AHUJA LPC

Provider Business Mailing Address
First Line	:	6611 DUFFIELD DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-1452
Country	:	US
Telephone Number	:	469-688-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	13601 PRESTON RD STE 830W
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-5332
Country	:	US
Telephone Number	:	469-688-8470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2019
Last Update Date	:	12/20/2019

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Directions to “ SVETA AHUJA LPC” Practice Location

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