Individual
MR. JAMES S MAXWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5902 LAIRD DR, AUSTIN, TX 78757-3231
(512) 454-1850
(512) 453-2707
Mailing address
5902 LAIRD DR, AUSTIN, TX 78757-3231
(512) 454-1850
(512) 453-2707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2682LC
BLUECROSS BLUE SHIELD ID
TX
Enumeration date
09/30/2005
Last updated
07/08/2007
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