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NPI Code Detail

MEDICARE: MRS. BRIDGET JOWID MS, LPC, LMFT, NCC

MEDICARE:  MRS. BRIDGET  JOWID  MS, LPC, LMFT, NCC
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
1106H00000XMarriage & Family Therapist203352TX
2225X00000XOccupational Therapist108220TX
3101YP2500XProfessional Counselor80178TX

General Provider Information

NPI Number : 1275769499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRIDGET JOWID MS, LPC, LMFT, NCC
Provider Business Mailing Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 214-260-3197
Fax Number : 214-260-8602
Provider Business Practice Location Address
First Line : 6750 HILLCREST PLAZA DR STE 224
Second Line :
City : DALLAS
State : TX
Zip : 75230-1441
Country : US
Telephone Number : 972-454-0415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 04/12/2022

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