MEDICARE: JANET A HARRISON LPC, LMFT

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	17828	TX
2	106H00000X	Marriage & Family Therapist	4939	TX

General Provider Information

NPI Number	:	1245302116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET A HARRISON LPC, LMFT

Provider Business Mailing Address
First Line	:	16223 AMBER BROWN DR
Second Line	:
City	:	HOCKLEY
State	:	TX
Zip	:	77447-2221
Country	:	US
Telephone Number	:	210-863-2304
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 WOODWAY DR STE 285
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-1533
Country	:	US
Telephone Number	:	832-778-6750
Fax Number	:

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

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/14/2024

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