MEDICARE: MICHAEL B DRIGGS 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	101YP2500X	Professional Counselor	11148	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508855065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL B DRIGGS LPC

Provider Business Mailing Address
First Line	:	403 STATE HIGHWAY 110 NORTH
Second Line	:
City	:	WHITEHOUSE
State	:	TX
Zip	:	75791
Country	:	US
Telephone Number	:	903-839-1000
Fax Number	:	903-839-4000

Provider Business Practice Location Address
First Line	:	403 STATE HIGHWAY 110 NORTH
Second Line	:
City	:	WHITEHOUSE
State	:	TX
Zip	:	75791
Country	:	US
Telephone Number	:	903-839-1000
Fax Number	:	903-839-4000

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	05/09/2016

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Directions to “ MICHAEL B DRIGGS LPC” Practice Location

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