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NPI Code Detail

MEDICARE: JESSICA COFIELD LPC-INTERN

MEDICARE:   JESSICA  COFIELD  LPC-INTERN
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
1101YP2500XProfessional Counselor74688TX

General Provider Information

NPI Number : 1942679279
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA COFIELD LPC-INTERN
Provider Business Mailing Address
First Line : 5900 S LAKE FOREST DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-2193
Country : US
Telephone Number : 469-850-3104
Fax Number :
Provider Business Practice Location Address
First Line : 5900 S LAKE FOREST DR
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-2193
Country : US
Telephone Number : 469-850-3104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2015
Last Update Date : 09/16/2015

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Directions to “ JESSICA COFIELD LPC-INTERN” Practice Location

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