MEDICARE: MICAELA DANIELLE GASSER 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	101Y00000X	Counselor	83117	TX

General Provider Information

NPI Number	:	1255083184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICAELA DANIELLE GASSER LPC

Provider Business Mailing Address
First Line	:	14151 MONTFORT DR APT 275
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-3065
Country	:	US
Telephone Number	:	972-922-4433
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 MCEWEN RD STE 360
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5112
Country	:	US
Telephone Number	:	469-283-8384
Fax Number	:

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

Provider Enumeration Date	:	01/21/2022
Last Update Date	:	03/30/2026

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