| Doctor Name: | MR. JOE AARON EASTHAM |
| NPI Number: | 1043332836 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.M.F.T, L.P.C. |
| License Number: | 18235 |
| Business Practice Address: | 4686 Bristol Trace Trl Keller, TX - 762486947 |
| Business Phone Number: | 8173001590 |
| Business Fax Number: | 8178860504 |
| Mailing Address: | 4686 Bristol Trace Trl, KELLER |
| State: | TX |
| Postal Code: | 762486947 |
| Phone Number: | 8173001590 |
| Fax Number: | 8178860504 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 18235 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |