MEDICARE: JANET CARPENTER 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	101Y00000X	Counselor	12850	TX

General Provider Information

NPI Number	:	1134339310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET CARPENTER LPC

Provider Business Mailing Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-321-4535
Fax Number	:	214-319-3495

Provider Business Practice Location Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-321-4535
Fax Number	:	214-319-3495

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/09/2007

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Directions to “ JANET CARPENTER LPC” Practice Location

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