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NPI Code Detail

MEDICARE: MS. MARIA ELENA WER LCDC, AAC

MEDICARE: MS. MARIA ELENA WER LCDC, AAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor2862TX

General Provider Information

NPI Number : 1033327424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARIA ELENA WER LCDC, AAC
Provider Business Mailing Address
First Line : 303 JACKSON HILL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7407
Country : US
Telephone Number : 281-200-9242
Fax Number : 713-400-3549
Provider Business Practice Location Address
First Line : 303 JACKSON HILL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77007-7407
Country : US
Telephone Number : 281-200-9242
Fax Number : 713-400-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 07/08/2007

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