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NPI Code Detail

MEDICARE: MRS. MARY CLARA SOSA LPC

MEDICARE: MRS. MARY CLARA SOSA 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
1101YM0800XMental Health Counselor79832TX

General Provider Information

NPI Number : 1245849553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY CLARA SOSA LPC
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 956-705-2025
Fax Number :
Provider Business Practice Location Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 956-337-2767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2020
Last Update Date : 06/08/2026

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