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NPI Code Detail

MEDICARE: MONIQUE CHAMPAGNE

MEDICARE: MONIQUE CHAMPAGNE
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1073195269
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONIQUE CHAMPAGNE
Provider Business Mailing Address
First Line : 608 E HICKORY ST STE 128
Second Line :
City : DENTON
State : TX
Zip : 76205-4311
Country : US
Telephone Number : 940-228-2227
Fax Number :
Provider Business Practice Location Address
First Line : 608 E HICKORY ST STE 128
Second Line :
City : DENTON
State : TX
Zip : 76205-4311
Country : US
Telephone Number : 940-228-2227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 04/27/2021

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Directions to “ MONIQUE CHAMPAGNE ” Practice Location

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