James A Blair, LPC

Individual provider Active NPI Professional Counselor · Terrell, TX

NPI 1013075753 · NPPES record last updated Feb 22, 2011

Key facts

NPI
1013075753
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
18412 (TX)
Practice address
400 Airport Rd
Terrell, TX 75160-4302
Phone
(972) 524-4159
Fax
(972) 563-5321
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18412TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18412 TX Yes

Addresses

Primary practice location

400 Airport Rd
Terrell, TX 75160-4302

Mailing address

1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 803-8358

Other identifiers

IdentifierTypeStateIssuer
10009156OtherTXCHIPS ID
160093401MedicaidTX

Other providers in Terrell, TX

All providers in Terrell, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.