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NPI Code Detail

MEDICARE: ADIEL JOSE HOLGUIN LPC

MEDICARE: ADIEL JOSE HOLGUIN 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 Counselor75455TX

General Provider Information

NPI Number : 1518445907
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADIEL JOSE HOLGUIN LPC
Provider Business Mailing Address
First Line : 1583 PASEO FELIZ DR
Second Line :
City : EL PASO
State : TX
Zip : 79928-5663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1101 N CAMPBELL ST RM 100
Second Line :
City : EL PASO
State : TX
Zip : 79902-4238
Country : US
Telephone Number : 915-747-7439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 07/30/2018

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Directions to “ ADIEL JOSE HOLGUIN LPC” Practice Location

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