MEDICARE: DARLENE A PALMER LPC, LMFT

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	101YM0800X	Mental Health Counselor	10067	TX
2	106H00000X	Marriage & Family Therapist	004444	TX

General Provider Information

NPI Number	:	1710969936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE A PALMER LPC, LMFT

Provider Business Mailing Address
First Line	:	2907 CAMILLE DR
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-7723
Country	:	US
Telephone Number	:	979-693-0518
Fax Number	:	979-693-1780

Provider Business Practice Location Address
First Line	:	1602 ROCK PRAIRIE RD
Second Line	:	SUITE 1100
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-8306
Country	:	US
Telephone Number	:	979-693-0518
Fax Number	:	979-693-1780

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	09/11/2025

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