Individual
MR. JOE AARON EASTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.F.T, L.P.C.
Contact information
Practice address
301 S CENTER ST, SUITE 500, ARLINGTON, TX 76010-7139
(817) 300-1590
(817) 656-1243
Mailing address
4686 BRISTOL TRACE TRL, KELLER, TX 76248-6947
(817) 300-1590
(817) 886-0504
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
18235
TX
106H00000X
Marriage & Family Therapist
Primary
5069
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178746701
—
TX
Enumeration date
04/04/2007
Last updated
03/07/2021
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