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NPI Code Detail

MEDICARE: CLAIRE COTTON LPC-INTERN

MEDICARE:   CLAIRE  COTTON  LPC-INTERN
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 Counselor82203TX

General Provider Information

NPI Number : 1518564111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAIRE COTTON LPC-INTERN
Provider Business Mailing Address
First Line : 7777 GLEN AMERICA DR APT 261
Second Line :
City : DALLAS
State : TX
Zip : 75225-1838
Country : US
Telephone Number : 214-980-9934
Fax Number :
Provider Business Practice Location Address
First Line : 5344 ALPHA RD
Second Line :
City : DALLAS
State : TX
Zip : 75240-3428
Country : US
Telephone Number : 214-984-3496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2020
Last Update Date : 10/06/2020

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Directions to “ CLAIRE COTTON LPC-INTERN” Practice Location

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