MEDICARE: KAREN CUMMINGS

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	61709	TX

General Provider Information

NPI Number	:	1306027917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN CUMMINGS

Provider Business Mailing Address
First Line	:	4100 SPRING VALLEY RD STE 320
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-3629
Country	:	US
Telephone Number	:	469-878-0492
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 SPRING VALLEY RD STE 320
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-3629
Country	:	US
Telephone Number	:	469-878-0492
Fax Number	:

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

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	07/21/2022

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Directions to “ KAREN CUMMINGS ” Practice Location

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