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NPI Code Detail

MEDICARE: ESTHER DIANE ROWTON M.ED., LPC

MEDICARE: ESTHER DIANE ROWTON M.ED., 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 Counselor19972TX

General Provider Information

NPI Number : 1710266028
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER DIANE ROWTON M.ED., LPC
Provider Business Mailing Address
First Line : 1706 ENDERLY PL
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4122
Country : US
Telephone Number : 214-762-7851
Fax Number :
Provider Business Practice Location Address
First Line : 1706 ENDERLY PL
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-4122
Country : US
Telephone Number : 214-762-7851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2011
Last Update Date : 08/04/2011

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