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NPI Code Detail

MEDICARE: MARIE MEJIA-JUSTICE LPC

MEDICARE:   MARIE  MEJIA-JUSTICE  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
1101Y00000XCounselor64994TX

General Provider Information

NPI Number : 1891065926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE MEJIA-JUSTICE LPC
Provider Business Mailing Address
First Line : 1219 S MOSS LAKE RD
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-1066
Country : US
Telephone Number : 432-393-5934
Fax Number :
Provider Business Practice Location Address
First Line : 222 S MAIN ST
Second Line : SUITE B
City : BIG SPRING
State : TX
Zip : 79720-2519
Country : US
Telephone Number : 432-393-5934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2012
Last Update Date : 01/05/2012

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Directions to “ MARIE MEJIA-JUSTICE LPC” Practice Location

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