MEDICARE: J. CLB COUNSELING

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1497511562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J. CLB COUNSELING

Provider Business Mailing Address
First Line	:	PO BOX 270336
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75027-0336
Country	:	US
Telephone Number	:	214-384-6235
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 SAN JACINTO BLVD
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-7589
Country	:	US
Telephone Number	:	214-384-6235
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	JULIANNE MCCLAIN
Credential	:	LCSW
Telephone Number	:	214-384-6235

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	03/03/2025

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