Anne Prescott Gault, MS, LPC

Individual provider Active NPI Professional Counselor · Garland, TX

NPI 1528293370 · NPPES record last updated May 22, 2009

Key facts

NPI
1528293370
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LPC #58190 (TX)
Practice address
3112 N Jupiter Rd Ste 203
Garland, TX 75044-6563
Phone
(214) 924-5829
NPI assigned
May 22, 2009
Sex
Female
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC #58190TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC #58190 TX Yes

Addresses

Primary practice location

3112 N Jupiter Rd Ste 203
Garland, TX 75044-6563

Mailing address

3112 N Jupiter Rd Ste 203
Garland, TX 75044-6563
Phone (214) 924-5829

Other providers in Garland, TX

All providers in Garland, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.