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NPI Code Detail

MEDICARE: JESSICA ALANIZ

MEDICARE:   JESSICA  ALANIZ
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 Counselor68434TX

General Provider Information

NPI Number : 1972925063
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ALANIZ
Provider Business Mailing Address
First Line : 9901 VALLEY RANCH PKWY E
Second Line : 2039
City : IRVING
State : TX
Zip : 75063-4730
Country : US
Telephone Number : 817-658-6708
Fax Number :
Provider Business Practice Location Address
First Line : 9901 VALLEY RANCH PKWY E
Second Line : 2039
City : IRVING
State : TX
Zip : 75063-4730
Country : US
Telephone Number : 817-658-6708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2014
Last Update Date : 01/09/2014

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Directions to “ JESSICA ALANIZ ” Practice Location

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