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General NPI Number Information
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NPI Number | 1255136750
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Entity Type | Individual
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Provider Name | MARCELA BARRERA GONZALES M.ED, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5522 LONE STAR PKWY STE 303
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City | SAN ANTONIO
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State | TX
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Zip | 78253-6722
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Country | US
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Telephone | 210-664-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 102 BLUE JAY LOOP
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City | VICTORIA
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State | TX
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Zip | 77905-3298
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Country | US
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Telephone | 361-652-9162
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 85555
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License Number State | TX
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