MEDICARE: GERMANIE JAMES MS, LMFT ASSOCIATE

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	106H00000X	Marriage & Family Therapist	204637	TX

General Provider Information

NPI Number	:	1861124232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERMANIE JAMES MS, LMFT ASSOCIATE

Provider Business Mailing Address
First Line	:	4526 HIGHWAY 6 N STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4526 HIGHWAY 6 N STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-3402
Country	:	US
Telephone Number	:	832-920-0431
Fax Number	:

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

Provider Enumeration Date	:	06/25/2022
Last Update Date	:	06/25/2022

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