Provider Demographics
NPI:1336141506
Name:JAMESON, ALBERT W (LPC)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:W
Last Name:JAMESON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 THROCKMORTON ST
Mailing Address - Street 2:#909
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76102-7421
Mailing Address - Country:US
Mailing Address - Phone:817-845-0510
Mailing Address - Fax:
Practice Address - Street 1:333 THROCKMORTON ST
Practice Address - Street 2:#909
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76102-7421
Practice Address - Country:US
Practice Address - Phone:817-845-0510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2257101YA0400X
TX13298101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional