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NPI Code Detail

MEDICARE: VALERIE MANRIQUEZ WICOFF

MEDICARE: VALERIE MANRIQUEZ WICOFF
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
1101YM0800XMental Health Counselor99709TX

General Provider Information

NPI Number : 1871425850
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALERIE MANRIQUEZ WICOFF
Provider Business Mailing Address
First Line : 5108 MULFORD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77023-3239
Country : US
Telephone Number : 713-298-2359
Fax Number :
Provider Business Practice Location Address
First Line : 3100 WESLAYAN ST STE 270
Second Line :
City : HOUSTON
State : TX
Zip : 77027-5752
Country : US
Telephone Number : 346-402-4997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/04/2026

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Directions to “ VALERIE MANRIQUEZ WICOFF ” Practice Location

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