MEDICARE: MS. NANCY JO NEPTUNE 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	101YM0800X	Mental Health Counselor	10628	TX

General Provider Information

NPI Number	:	1275542458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY JO NEPTUNE LPC

Provider Business Mailing Address
First Line	:	4200 WESTHEIMER RD
Second Line	:	SUTIE 290
City	:	HOUSTON
State	:	TX
Zip	:	77027-4415
Country	:	US
Telephone Number	:	713-622-1922
Fax Number	:	713-688-4999

Provider Business Practice Location Address
First Line	:	4200 WESTHEIMER RD
Second Line	:	SUTIE 290
City	:	HOUSTON
State	:	TX
Zip	:	77027-4415
Country	:	US
Telephone Number	:	713-622-1922
Fax Number	:	713-688-4999

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

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/08/2007

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