James, Caroline W

James, Caroline W is an individual health care provider with primary practice located at 108 Wain Dr , Longview TX 75604-1231. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. James, Caroline W can be contacted via phone (903) 445-2142.

Contact Information

Primary practice address
108 Wain Dr Longview TX 75604-1231
Phone: (903) 445-2142
Fax: (903) 236-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 10810 Texas

Profile Details

NPI number 1174666507
LBN Legal business name James, Caroline W
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Aug 29th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174666507 NPPES
Texas Other 80907L BLUE CROSS BLUE SHIELD
Texas MEDICAID 095621101 BLUE CROSS BLUE SHIELD
Texas MEDICAID 095621103 BLUE CROSS BLUE SHIELD

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