MEDICARE: DR. AWA JANGHA 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	101YM0800X	Mental Health Counselor	ATG084	MD
2	101YM0800X	Mental Health Counselor	76447	TX
3	101YM0800X	Mental Health Counselor	PRC14517	DC

General Provider Information

NPI Number	:	1902201197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AWA JANGHA LPC

Provider Business Mailing Address
First Line	:	PO BOX 49467
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78765-9467
Country	:	US
Telephone Number	:	512-956-6239
Fax Number	:

Provider Business Practice Location Address
First Line	:	5608 AVENUE F
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78751-1252
Country	:	US
Telephone Number	:	512-956-6239
Fax Number	:

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

Provider Enumeration Date	:	10/30/2014
Last Update Date	:	12/10/2020

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Directions to “ DR. AWA JANGHA LPC” Practice Location

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