MEDICARE: ANN SHAREE TRASKAUSKAS 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
1	101YP2500X	Professional Counselor	79286	TX

General Provider Information

NPI Number	:	1154946523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN SHAREE TRASKAUSKAS LPC

Provider Business Mailing Address
First Line	:	148 ALVAREZ CT
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-3214
Country	:	US
Telephone Number	:	956-559-0157
Fax Number	:

Provider Business Practice Location Address
First Line	:	880 RIDGEWOOD ST STE 4
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-8466
Country	:	US
Telephone Number	:	210-675-0066
Fax Number	:	210-618-0324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2020
Last Update Date	:	05/13/2024

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