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NPI Code Detail

MEDICARE: KHRYSTAL M CHEN M.A., L.P.C.

MEDICARE:   KHRYSTAL M CHEN  M.A., L.P.C.
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 Counselor63347TX
2101YM0800XMental Health Counselor63347TX

General Provider Information

NPI Number : 1740423797
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHRYSTAL M CHEN M.A., L.P.C.
Provider Business Mailing Address
First Line : 1517 ROBIN AVE
Second Line :
City : MCALLEN
State : TX
Zip : 78504-3112
Country : US
Telephone Number : 956-878-7358
Fax Number :
Provider Business Practice Location Address
First Line : 3801 W BUSINESS 83
Second Line :
City : HARLINGEN
State : TX
Zip : 78552-3521
Country : US
Telephone Number : 956-878-7358
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2009
Last Update Date : 04/29/2010

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Directions to “ KHRYSTAL M CHEN M.A., L.P.C.” Practice Location

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