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NPI Code Detail

MEDICARE: JENNIFER LYNN BITTNER LPC

MEDICARE:   JENNIFER LYNN BITTNER  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
1101YM0800XMental Health Counselor64733TX

General Provider Information

NPI Number : 1679857650
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LYNN BITTNER LPC
Provider Business Mailing Address
First Line : 1911 DEER FIELD WAY
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548
Country : US
Telephone Number : 214-415-9179
Fax Number :
Provider Business Practice Location Address
First Line : 1911 DEER FIELD WAY
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548
Country : US
Telephone Number : 214-415-9179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 10/07/2011

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Directions to “ JENNIFER LYNN BITTNER LPC” Practice Location

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