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Ian James Mudge, LPC
Mental Health Counselor in Irving, Texas
NPI 1700414539

Ian James Mudge is a Mental Health Counselor based in Irving, TX and is specialized in Mental Health. Ian James Mudge practices in Irving, TX and has the professional credentials of LPC. The NPI Number for Ian James Mudge is 1700414539 and holds a License No. (Texas).

The current practice location address for Ian James Mudge is 1216 Fair Oaks Dr, Irving, TX and can be reached out via phone at 862-201-3495.

Location: 1216 Fair Oaks Dr, Irving, TX, 75060-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700414539
Provider Name
Ian James Mudge
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
1216 Fair Oaks Dr, Irving, TX, 75060-3810
Phone Number
862-201-3495
Fax Number
Provider Enumeration Date
03/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1216 Fair Oaks Dr
City
Irving
State
Texas
Zip
75060-3810
Phone Number
862-201-3495
Fax Number
person
Provider Business Mailing Address Details
Address
1216 Fair Oaks Dr
City
Irving
State
Texas
Zip
75060-3810
Phone Number
862-201-3495
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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