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NPI 1124978093

NPI 1124978093 : ANTONIO MACIAS JR. LPC-ASSOCIATE : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1124978093
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    Entity Type          |    Individual 
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    Provider Name        |    ANTONIO MACIAS JR. LPC-ASSOCIATE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/30/2026
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    713 E ESPERANZA AVE STE A 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-1448
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    Country              |    US
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    Telephone            |    956-305-1001
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    Fax                  |    956-305-1002
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Provider Business Mailing Address
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    Address Line         |    713 E ESPERANZA AVE STE A 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78501-1448
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    Country              |    US
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    Telephone            |    956-305-1001
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    Fax                  |    956-305-1002
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    100848
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    License Number State |    TX
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