MEDICARE: FADIME DOGAN 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	90357	TX

General Provider Information

NPI Number	:	1548087737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FADIME DOGAN LPC

Provider Business Mailing Address
First Line	:	5353 W ALABAMA ST STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5999
Country	:	US
Telephone Number	:	346-610-8778
Fax Number	:	281-524-3003

Provider Business Practice Location Address
First Line	:	5353 W ALABAMA ST STE 570
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-5999
Country	:	US
Telephone Number	:	346-610-8778
Fax Number	:	281-524-3003

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

Provider Enumeration Date	:	09/20/2024
Last Update Date	:	09/20/2024

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Directions to “ FADIME DOGAN LPC” Practice Location

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