MEDICARE: CYNTHIA MORGAN LPC, LCDC INTERN

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	101YP2500X	Professional Counselor	68309	TX

General Provider Information

NPI Number	:	1851796791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA MORGAN LPC, LCDC INTERN

Provider Business Mailing Address
First Line	:	PO BOX 463
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78573-0008
Country	:	US
Telephone Number	:	956-502-5526
Fax Number	:

Provider Business Practice Location Address
First Line	:	918 W NOLANA LOOP
Second Line	:
City	:	PHARR
State	:	TX
Zip	:	78577-8340
Country	:	US
Telephone Number	:	956-502-5526
Fax Number	:

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

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	11/04/2014

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