MEDICARE: CAROLE JO ESPINOSA 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
1	101YM0800X	Mental Health Counselor	88097	TX
2	101YP2500X	Professional Counselor	88097	TX

General Provider Information

NPI Number	:	1790491553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLE JO ESPINOSA LPC

Provider Business Mailing Address
First Line	:	PO BOX 746079
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6079
Country	:	US
Telephone Number	:	773-352-1513
Fax Number	:

Provider Business Practice Location Address
First Line	:	5760 W LITTLE YORK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-707-7359
Fax Number	:

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

Provider Enumeration Date	:	01/25/2023
Last Update Date	:	06/03/2026

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Directions to “ CAROLE JO ESPINOSA LPC” Practice Location

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