MEDICARE: CELINA MARCOLINO 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	92582	TX

General Provider Information

NPI Number	:	1285418590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELINA MARCOLINO LPC

Provider Business Mailing Address
First Line	:	26707 CEDARDALE PINES DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7201
Country	:	US
Telephone Number	:	832-745-7825
Fax Number	:

Provider Business Practice Location Address
First Line	:	23410 GRAND RESERVE DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-4985
Country	:	US
Telephone Number	:	832-745-7825
Fax Number	:

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

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	08/21/2023

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Directions to “ CELINA MARCOLINO LPC” Practice Location

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