MEDICARE: MS. NANCY J STOKES 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	101YP2500X	Professional Counselor	13018	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	13018	OTHER	TX	LPC

General Provider Information

NPI Number	:	1902970700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NANCY J STOKES LPC

Provider Business Mailing Address
First Line	:	6162 EAST MOCKINGBIRD LN
Second Line	:	STE 204
City	:	DALLAS
State	:	TX
Zip	:	75214
Country	:	US
Telephone Number	:	972-681-2760
Fax Number	:	217-349-4248

Provider Business Practice Location Address
First Line	:	6162 EAST MOCKINGBIRD LN
Second Line	:	STE 204
City	:	DALLAS
State	:	TX
Zip	:	75214
Country	:	US
Telephone Number	:	972-681-2760
Fax Number	:	217-349-4248

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

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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