Individual provider · Type 1 NPI
Jere Dee Forman, LPC-SUPERVISOR
Professional Counselor · Allen, TX
NPI number
1821435330
Active
Practice location
1333 Mcdermott Drive, 200
Allen, TX 75013-3089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 60025 (TX) |
Professional Counselor: Definition to come...
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About NPI 1821435330
Jere Dee Forman, LPC-SUPERVISOR's National Provider Identifier is 1821435330, issued on May 24, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Allen, TX. The record was last updated on May 24, 2013.