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NPI Code Detail

MEDICARE: MS. ANGELA SEDILLO LPC

MEDICARE:  MS. ANGELA  SEDILLO  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
1101YM0800XMental Health Counselor75796TX
2101YM0800XMental Health Counselor0167801NM

General Provider Information

NPI Number : 1952729667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA SEDILLO LPC
Provider Business Mailing Address
First Line : 13706 RESEARCH BLVD STE 114
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1838
Country : US
Telephone Number : 575-635-8316
Fax Number :
Provider Business Practice Location Address
First Line : 13706 RESEARCH BLVD STE 114
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1838
Country : US
Telephone Number : 575-635-8316
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2014
Last Update Date : 07/21/2022

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Directions to “ MS. ANGELA SEDILLO LPC” Practice Location

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