MEDICARE: MS. LINDA R. HONKER M.ED.

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	9321	TX

General Provider Information

NPI Number	:	1194935007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA R. HONKER M.ED.

Provider Business Mailing Address
First Line	:	7712 LA COSA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-4320
Country	:	US
Telephone Number	:	972-991-9559
Fax Number	:

Provider Business Practice Location Address
First Line	:	7712 LA COSA DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75248-4320
Country	:	US
Telephone Number	:	972-991-9559
Fax Number	:	972-490-6856

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/08/2007

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