MEDICARE: MS. MAUREEN MARIE ST. ALMOND M. ED., 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	15256	TX

General Provider Information

NPI Number	:	1871734434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAUREEN MARIE ST. ALMOND M. ED., LPC

Provider Business Mailing Address
First Line	:	1420 GERONIMO DR
Second Line	:	B-4
City	:	EL PASO
State	:	TX
Zip	:	79925-1855
Country	:	US
Telephone Number	:	915-778-3807
Fax Number	:	915-779-6600

Provider Business Practice Location Address
First Line	:	1420 GERONIMO DR
Second Line	:	B-4
City	:	EL PASO
State	:	TX
Zip	:	79925-1855
Country	:	US
Telephone Number	:	915-778-3807
Fax Number	:	915-779-6600

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

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	03/11/2009

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