| Jamison Professional Counseling Center Inc | |
|
111 Songbird Dr Fredericksburg TX 78624-5447 | |
| (325) 829-9446 | |
| Not Available |
| Full Name | Jamison Professional Counseling Center Inc |
|---|---|
| Speciality | Social Worker |
| Location | 111 Songbird Dr, Fredericksburg, Texas |
| Authorized Official Name and Position | Jeffrey David Jamison (PRESIDENT) |
| Authorized Official Contact | 3258299446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamison Professional Counseling Center Inc Po Box 1116 Fredericksburg TX 78624-1116 Ph: (325) 829-9446 | Jamison Professional Counseling Center Inc 111 Songbird Dr Fredericksburg TX 78624-5447 Ph: (325) 829-9446 |
| NPI Number | 1104994284 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 2163618901 |
|---|---|
| Medicare Enrollment ID | O20101119000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104994284 | NPI | - | NPPES |
| 306522902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005794 (Texas) | Primary |
| Provider Name | Jeffrey D Jamison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770604373 PECOS PAC ID: 1759577604 Enrollment ID: I20101118000366 |
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