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NPI Code Detail

MEDICARE: JADE HUDSON LCSW

MEDICARE: JADE HUDSON LCSW
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
1101YM0800XMental Health Counselor109291TX

General Provider Information

NPI Number : 1902722770
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADE HUDSON LCSW
Provider Business Mailing Address
First Line : 3505 CLARA DR
Second Line :
City : MELISSA
State : TX
Zip : 75454-9747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3900 S STONEBRIDGE DR STE 804
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8059
Country : US
Telephone Number : 972-755-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2026
Last Update Date : 06/26/2026

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