Provider Demographics
NPI:1245959055
Name:GERMANY, JAMES MICHAEL HAROLD (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MICHAEL HAROLD
Last Name:GERMANY
Suffix:
Gender:M
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W 22ND 1/2 ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-5303
Mailing Address - Country:US
Mailing Address - Phone:601-214-5994
Mailing Address - Fax:
Practice Address - Street 1:1201 W 22ND 1/2 ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-5303
Practice Address - Country:US
Practice Address - Phone:601-214-5994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89595101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health