Provider Information for 1881366516
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Mr. JAMES DANIEL COLEY Jr. MS, LPC
Sex: Male
NPI: 1881366516
Last Updated: 2024-05-10
Certification Date: 2024-05-10
Certification Date: 2024-05-10
Details
Name | Value | ||||||||||||||||||||
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NPI | 1881366516 | ||||||||||||||||||||
Enumeration Date | 2021-09-30 | ||||||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||||||
Sole Proprietor | NO | ||||||||||||||||||||
Status | Active | ||||||||||||||||||||
Mailing Address | 522 WINDROW DR JOSEPHINE, TX 75189-3844 United States Phone: 469-855-4834 | Fax: | ||||||||||||||||||||
Primary Practice Address | 13500 MIDWAY RD STE 400 FARMERS BRANCH, TX 75244-5155 United States Phone: 469-333-0153 | Fax: | ||||||||||||||||||||
Secondary Practice Address(es) | 720 E PARK BLVD STE 204 303 S HIGHWAY 78 STE 100 522 WINDROW DR | ||||||||||||||||||||
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