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Contact Information

JESSE D POOL, LPC
3611 SONCY, SUITE 4A
AMARILLO, TX79119
 Phone: 806-584-5400
 Fax: 806-359-0610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JESSE D POOL · (Male)

NPI Number 1063432136
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 07/20/2006
Last updated 08/12/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 17282
  • TX Medicaid 1493348-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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