MEDICARE: DAINA YARE PAGAN GUZMAN

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	90396	TX
2	101Y00000X	Counselor	90936	TX

General Provider Information

NPI Number	:	1306641154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAINA YARE PAGAN GUZMAN

Provider Business Mailing Address
First Line	:	1123 GRIFFITH VIEW LN
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5399
Country	:	US
Telephone Number	:	832-853-1942
Fax Number	:

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY STE 427
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	832-287-8502
Fax Number	:

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

Provider Enumeration Date	:	02/17/2025
Last Update Date	:	01/28/2026

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Directions to “ DAINA YARE PAGAN GUZMAN ” Practice Location

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