Individual provider · NPI-1

Jamon E Abanaka, MS, LPC, LSOTP

Counselor, Professional · Dallas, TX

NPI number1083481949
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1083481949
Entity type
Individual (NPI-1)
Name
Mr. Jamon E Abanaka
Credential
MS, LPC, LSOTP
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 11, 2023
Certification date
Jan 27, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional66959TXYes

Practice location

5520 Langdon Rd
Dallas, TX 75241-7148

Phone 972-925-2919

Mailing address

1180 Whispering Oaks Dr
Desoto, TX 75115-7407

Phone 469-964-9782

Other practice locations

1180 Whispering Oaks Dr
Desoto, TX 75115-7407

Phone 469-964-9782

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