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NPI Code Detail

MEDICARE: LYNETTE SLEBRCH LPC

MEDICARE: LYNETTE SLEBRCH LPC
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 Counselor78360TX

General Provider Information

NPI Number : 1083250799
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNETTE SLEBRCH LPC
Provider Business Mailing Address
First Line : 606 VISTA SPRINGS DR
Second Line :
City : SPRING BRANCH
State : TX
Zip : 78070-4078
Country : US
Telephone Number : 830-935-3311
Fax Number :
Provider Business Practice Location Address
First Line : 26229 N CRANES MILL RD
Second Line :
City : CANYON LAKE
State : TX
Zip : 78133-1957
Country : US
Telephone Number : 830-217-3526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2019
Last Update Date : 11/18/2019

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