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NPI Code Detail

MEDICARE: NANCY POHL LPC

MEDICARE: NANCY POHL 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 Counselor10644TX

General Provider Information

NPI Number : 1790977924
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY POHL LPC
Provider Business Mailing Address
First Line : PO BOX 140767
Second Line :
City : AUSTIN
State : TX
Zip : 78714-0767
Country : US
Telephone Number : 512-459-1000
Fax Number : 512-419-7421
Provider Business Practice Location Address
First Line : 8305 CROSS PARK DR
Second Line :
City : AUSTIN
State : TX
Zip : 78754-5154
Country : US
Telephone Number : 512-459-1000
Fax Number : 512-419-7421
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2007
Last Update Date : 08/12/2007

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