MEDICARE: JANELLE LINARES

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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	3598	CT
3	101YP2500X	Professional Counselor	83027	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	M18463	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1861800336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE LINARES

Provider Business Mailing Address
First Line	:	7200 ALMEDA RD APT 501
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2148
Country	:	US
Telephone Number	:	413-885-1603
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 ALMEDA RD APT 501
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2148
Country	:	US
Telephone Number	:	413-885-1603
Fax Number	:

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

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	11/08/2020

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Directions to “ JANELLE LINARES ” Practice Location

Language	Start Address	Practice Location

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