MEDICARE: MR. ALBERT WEBB M.S., 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	101Y00000X	Counselor	17706	TX

General Provider Information

NPI Number	:	1811177033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALBERT WEBB M.S., LPC

Provider Business Mailing Address
First Line	:	2911 TURTLE CREEK BLVD
Second Line	:	#300
City	:	DALLAS
State	:	TX
Zip	:	75219-6247
Country	:	US
Telephone Number	:	214-789-9550
Fax Number	:	214-347-7211

Provider Business Practice Location Address
First Line	:	2911 TURTLE CREEK BLVD
Second Line	:	#300
City	:	DALLAS
State	:	TX
Zip	:	75219-6247
Country	:	US
Telephone Number	:	214-789-9550
Fax Number	:	213-347-7211

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

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	09/11/2013

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