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NPI Code Detail

MEDICARE: EWA MARCINKIEWICZ

MEDICARE: EWA MARCINKIEWICZ
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 Counselor72021TX

General Provider Information

NPI Number : 1972878544
Entity Type Code : Individual
Provider Name (Legal Business Name) : EWA MARCINKIEWICZ
Provider Business Mailing Address
First Line : 12100 METRIC BLVD APT 638
Second Line :
City : AUSTIN
State : TX
Zip : 78758-8645
Country : US
Telephone Number : 832-315-1856
Fax Number :
Provider Business Practice Location Address
First Line : 12100 METRIC BLVD APT 638
Second Line :
City : AUSTIN
State : TX
Zip : 78758-8645
Country : US
Telephone Number : 832-315-1856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2012
Last Update Date : 12/12/2025

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Directions to “ EWA MARCINKIEWICZ ” Practice Location

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