MEDICARE: CARMEN CARTER-MCZEAL M.A., 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
1	101YP2500X	Professional Counselor	62214	TX

General Provider Information

NPI Number	:	1164608667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN CARTER-MCZEAL M.A., LPC

Provider Business Mailing Address
First Line	:	PO BOX 691767
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77269-1767
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 BENMAR DR
Second Line	:	2230
City	:	HOUSTON
State	:	TX
Zip	:	77060-3165
Country	:	US
Telephone Number	:	832-729-2191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	01/14/2008

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