NPI 1083481949 · live from the CMS NPI Registry
Jamon E Abanaka, MS, LPC, LSOTP
Counselor, Professional in Dallas, TX. National Provider Identifier 1083481949, active.
NPI record
| NPI | 1083481949 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 5520 Langdon Rd, Dallas, TX 75241 |
| Practice phone | 972-925-2919 |
| Mailing address | 1180 Whispering Oaks Dr, Desoto, TX 75115 |
| Enumerated | December 11, 2023 |
| Last updated | January 29, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 66959 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.