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NPI Code Detail

MEDICARE: MARTHA VALLIN MS, MED, LPC-A

MEDICARE:   MARTHA  VALLIN  MS, MED, LPC-A
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
1101YP2500XProfessional Counselor97507TX

General Provider Information

NPI Number : 1558919035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA VALLIN MS, MED, LPC-A
Provider Business Mailing Address
First Line : 12803 FOLKGLEN CT
Second Line :
City : HOUSTON
State : TX
Zip : 77034-3871
Country : US
Telephone Number : 832-512-9468
Fax Number :
Provider Business Practice Location Address
First Line : 1560 W BAY AREA BLVD STE 303
Second Line :
City : FRIENDSWOOD
State : TX
Zip : 77546-2681
Country : US
Telephone Number : 832-224-9143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 01/13/2025

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Directions to “ MARTHA VALLIN MS, MED, LPC-A” Practice Location

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