MEDICARE: MS. JANINE MAREK 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	101YM0800X	Mental Health Counselor	13855	TX

General Provider Information

NPI Number	:	1588850986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANINE MAREK LPC

Provider Business Mailing Address
First Line	:	9262 FOREST LN
Second Line	:	SUITE 101
City	:	DALLAS
State	:	TX
Zip	:	75243-4207
Country	:	US
Telephone Number	:	214-340-5090
Fax Number	:	214-340-9779

Provider Business Practice Location Address
First Line	:	9262 FOREST LN
Second Line	:	SUITE 101
City	:	DALLAS
State	:	TX
Zip	:	75243-4207
Country	:	US
Telephone Number	:	214-340-5090
Fax Number	:	214-340-9779

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

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

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