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NPI Code Detail

MEDICARE: DANIEL F. ASCENCAO LPC

MEDICARE: DANIEL F. ASCENCAO 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
1101YP2500XProfessional Counselor62406TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162406OTHERTXLICENSE

General Provider Information

NPI Number : 1659540458
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL F. ASCENCAO LPC
Provider Business Mailing Address
First Line : PO BOX 725
Second Line :
City : LYTLE
State : TX
Zip : 78052-0725
Country : US
Telephone Number : 210-357-0369
Fax Number : 210-357-0458
Provider Business Practice Location Address
First Line : 19965 FM 3175
Second Line :
City : LYTLE
State : TX
Zip : 78052-3481
Country : US
Telephone Number : 210-357-0369
Fax Number : 210-357-0458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2008
Last Update Date : 02/26/2008

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