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NPI Code Detail

MEDICARE: OANH FAUSTINE LE LPC

MEDICARE: OANH FAUSTINE LE 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
1101YP2500XProfessional Counselor81604TX

General Provider Information

NPI Number : 1174197347
Entity Type Code : Individual
Provider Name (Legal Business Name) : OANH FAUSTINE LE LPC
Provider Business Mailing Address
First Line : 1202 NORMANDY DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-2933
Country : US
Telephone Number : 727-859-2880
Fax Number :
Provider Business Practice Location Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number : 469-666-8197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2021
Last Update Date : 05/13/2021

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