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James Michael Hargrave SR., LCDC,CEAP
Addiction (Substance Use Disorder) Counselor in Texarkana, Texas
NPI 1649633652

James Michael Hargrave SR. is an Addiction (Substance Use Disorder) Counselor based in Texarkana, TX and is specialized in Addiction (Substance Use Disorder). James Michael Hargrave SR. practices in Texarkana, TX and has the professional credentials of LCDC,CEAP. The NPI Number for James Michael Hargrave SR. is 1649633652 and holds a License No. 004160 (Texas).

The current practice location address for James Michael Hargrave SR. is 3608 Melody Ln, Texarkana, TX and can be reached out via phone at 903-293-7485 and via fax at 903-614-7100.

Location: 3608 Melody Ln, Texarkana, TX, 75503-0884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649633652
Provider Name
James Michael Hargrave SR.
Credential
LCDC,CEAP
Provider Entity Type
Individual
Gender
Male
Address
3608 Melody Ln, Texarkana, TX, 75503-0884
Phone Number
903-293-7485
Fax Number
903-614-7100
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3608 Melody Ln
City
Texarkana
State
Texas
Zip
75503-0884
Phone Number
903-293-7485
Fax Number
903-614-7100
person
Provider Business Mailing Address Details
Address
3608 Melody Ln
City
Texarkana
State
Texas
Zip
75503-0884
Phone Number
903-293-7485
Fax Number
903-614-7100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
10223 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
004160 (Texas)
Definition
Definition to come...
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