Unknown Individual – Counselor, NPI 1467482919
Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1661, South Buffalo Street, Canton, Van Zandt County, Texas, 75103, United States
CANTON, TX 751032619
Phone: (903) 539-4753
Fax: (903) 509-4125
Type: Location
State Highway 64 West, Tyler, Smith County, Texas, 75704, United States
135
TYLER, TX 757046924
Phone: (903) 539-4753
Fax: (903) 509-4125
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75103)
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