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NPI Code Detail

MEDICARE: MR. BINIAM ABEBE LPC

MEDICARE: MR. BINIAM ABEBE 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
1101YP2500XProfessional Counselor66149TX

Other Identifiers

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

General Provider Information

NPI Number : 1528342029
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BINIAM ABEBE LPC
Provider Business Mailing Address
First Line : PO BOX 600364
Second Line :
City : DALLAS
State : TX
Zip : 75360-0364
Country : US
Telephone Number : 214-223-6007
Fax Number :
Provider Business Practice Location Address
First Line : 3803 BOULDER DR
Second Line :
City : DALLAS
State : TX
Zip : 75233-3114
Country : US
Telephone Number : 972-502-4020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2011
Last Update Date : 10/16/2018

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