Jesse David Pool is a Counselor in Amarillo, Texas. Jesse David Pool practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jesse David Pool is 1063432136. The last update date is 2014-08-12.
Jesse David Pool's current location address is 5133 Royce Dr, Amarillo, Texas. You can contact this provider via phone number 8065845400 and fax number 8063590610. The mailing address for Jesse David Pool is 5133 Royce Dr, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse David Pool |
|---|---|
| Address | 5133 Royce Dr, Amarillo, Texas |
| Phone Number | 8065845400 |
| Fax Number | 8063590610 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1063432136 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2014-08-12 |
Provider Mailing Address Detail
| Address | 5133 Royce Dr |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791103010 |
| Phone Number | 8065845400 |
| Fax Number | 8063590610 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 17282 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1493348-01 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jesse David Pool by the Centers for Medicare & Medicaid Services?
The Jesse David Pool has been issued the NPI (National Provider Identifier) 1063432136 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jesse David Pool is located?
The Jesse David Pool is situated at the following address: 5133 Royce Dr, Amarillo, TX, 791103010.
What is Jesse David Pool's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jesse David Pool's specialized field of practice is Counselor, and the corresponding taxonomy code that categorizes this area of specialization is 101Y00000X.
What is Jesse David Pool's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jesse David Pool is Counselor, and the taxonomy classification code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063432136 to Jesse David Pool?
The Centers for Medicare & Medicaid Services assigned the 1063432136 to Jesse David Pool on 2006-07-20.