Individual provider · Type 1 NPI
James Michael Hargrave Sr., LCDC, CEAP
Addiction (Substance Use Disorder) Counselor · Texarkana, TX
NPI number
1649633652
Active
Practice location
3608 Melody Ln
Texarkana, TX 75503-0884
Fax (903) 614-7100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 004160 (TX) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10223 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1649633652
James Michael Hargrave Sr., LCDC, CEAP's National Provider Identifier is 1649633652, issued on Mar 29, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Texarkana, TX. The record was last updated on Mar 29, 2016.