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NPI Code Detail

MEDICARE: GINA C NEFF

MEDICARE: GINA C NEFF
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
1101YM0800XMental Health Counselor91225TX

General Provider Information

NPI Number : 1497587000
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA C NEFF
Provider Business Mailing Address
First Line : PO BOX 2917
Second Line :
City : WAXAHACHIE
State : TX
Zip : 75168-2917
Country : US
Telephone Number : 214-684-2257
Fax Number :
Provider Business Practice Location Address
First Line : 5220 SPRING VALLEY RD STE 610
Second Line :
City : DALLAS
State : TX
Zip : 75254-3059
Country : US
Telephone Number : 972-953-9895
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2024
Last Update Date : 08/14/2024

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Directions to “ GINA C NEFF ” Practice Location

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