Mcqueen, Carl V.
Mcqueen, Carl V. is an sole proprietor health care provider with primary practice located at 1219 E South 11Th St Suite A, Abilene TX 79602-4283. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Mcqueen, Carl V. can be contacted via phone (325) 676-2039.Contact Information
Primary practice address
1219 E South 11Th St Suite A
Abilene TX 79602-4283
Phone: (325) 676-2039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 15493 | Texas |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 4301 | Texas |
Profile Details
| NPI number | 1457447823 |
|---|---|
| LBN Legal business name | Mcqueen, Carl V. |
| Credentials | LPC, LCDC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457447823 | NPPES |
| Texas | MEDICAID | 28567801 | |
| Texas | Other | 4105LC |
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