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NPI Code Detail

MEDICARE: CYNTHIA DIANA VILLACORTA SEBRAN LPC

MEDICARE: CYNTHIA DIANA VILLACORTA SEBRAN LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor78507TX

General Provider Information

NPI Number : 1013585686
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA DIANA VILLACORTA SEBRAN LPC
Provider Business Mailing Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number : 469-666-8197
Provider Business Practice Location Address
First Line : 5228 VILLAGE CREEK DR STE 100
Second Line :
City : PLANO
State : TX
Zip : 75093-4430
Country : US
Telephone Number : 972-913-4738
Fax Number : 469-666-8197
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 06/11/2021

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Directions to “ CYNTHIA DIANA VILLACORTA SEBRAN LPC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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