MR. ALFRED BERNARD WISHART LPC LCDC MAC CRC NPI 1639550874

NPI Information

NPI: 1639550874
Provider Name: MR. ALFRED BERNARD WISHART, LPC, LCDC, MAC, CRC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5507 REIGER AVE
DALLAS, TX
ZIP 75214
Phone: (214) 923-5093
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MR. Alfred Bernard Wishart, LPC, LCDC, MAC, CRC is a professional counselor in Dallas, TX. MR. Alfred Bernard Wishart, LPC, LCDC, MAC, CRC NPI is 1639550874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5507 REIGER AVE
DALLAS, TX
ZIP 75214-041
Phone: (214) 923-5093

The enumeration date for this NPI number is 6/13/2015 and was last updated on 11/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12537	TEXAS	No
2	101YM0800X	Counselor	Mental Health	71266	TEXAS	No
3	101YP2500X	Counselor	Professional	71266	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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