MEDICARE: JM CONSULTANTS

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	16389	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1851614341	OTHER	TX	IMHS

General Provider Information

NPI Number	:	1215208525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JM CONSULTANTS

Provider Business Mailing Address
First Line	:	2401 HAINE DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8592
Country	:	US
Telephone Number	:	956-412-2400
Fax Number	:	956-412-2404

Provider Business Practice Location Address
First Line	:	2401 HAINE DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8592
Country	:	US
Telephone Number	:	956-412-2400
Fax Number	:	956-412-2404

Authorized Official
Title or Position	:	OWNER/FOUNDER
Name	:	JEFFREY K MOEN
Credential	:	M.S., LPC
Telephone Number	:	956-412-2400

Provider Enumeration Date	:	01/18/2012
Last Update Date	:	01/18/2012

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Directions to “JM CONSULTANTS ” Practice Location

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