Organization
PRIME COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHOTWELL MA, MBA, LPC, LCDC, (OWNER)
(713) 557-8430
Entity
Organization
Contact information
Practice address
13140 COIT RD STE 215, DALLAS, TX 75240-5786
(817) 677-8353
Mailing address
6472 TRAMMEL DR, DALLAS, TX 75214-2219
(713) 557-8430
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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