MEDICARE: MS. KATHLEEN M JAMES LCSW

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	1041C0700X	Clinical Social Worker	LCSW-3562	AZ

General Provider Information

NPI Number	:	1548373624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHLEEN M JAMES LCSW

Provider Business Mailing Address
First Line	:	1600 RIVER POINTE DR APT 1021
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2854
Country	:	US
Telephone Number	:	602-522-1143
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 RIVERWOOD CT STE 100
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2824
Country	:	US
Telephone Number	:	936-522-4000
Fax Number	:

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

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	07/08/2007

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