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Provider Information for 1073089728


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Mr. JAMES LAWRENCE FARLEY LPC


Sex: Male

NPI: 1073089728
Last Updated: 2018-10-21
Certification Date:

Details

NameValue
NPI1073089728
Enumeration Date2018-10-21
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1700 ALMA DR STE 305
PLANO, TX 75075-6956
United States

Phone: 972-638-0338 | Fax:
 
Primary Practice Address 1700 ALMA DR STE 305
PLANO, TX 75075-6956
United States

Phone: 972-638-0338 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX71218