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NPI Code Detail

MEDICARE: VIRGINIA CRUSE LPC-S

MEDICARE:   VIRGINIA  CRUSE  LPC-S
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
1101YP2500XProfessional Counselor76102TX

General Provider Information

NPI Number : 1033647490
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA CRUSE LPC-S
Provider Business Mailing Address
First Line : 1209 S 10TH ST STE A112
Second Line :
City : MCALLEN
State : TX
Zip : 78501-5059
Country : US
Telephone Number : 210-998-1899
Fax Number :
Provider Business Practice Location Address
First Line : 1209 S 10TH ST STE A112
Second Line :
City : MCALLEN
State : TX
Zip : 78501-5059
Country : US
Telephone Number : 210-998-1899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2017
Last Update Date : 05/21/2024

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Directions to “ VIRGINIA CRUSE LPC-S” Practice Location

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