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NPI Code Detail

MEDICARE: SHLOMIT TANIA OLIEL MARQUEZ LPCA

MEDICARE: SHLOMIT TANIA OLIEL MARQUEZ LPCA
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
1101YM0800XMental Health Counselor87535TX

General Provider Information

NPI Number : 1205571346
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHLOMIT TANIA OLIEL MARQUEZ LPCA
Provider Business Mailing Address
First Line : 1710 FAIRMOUNT AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1323
Country : US
Telephone Number : 682-246-2817
Fax Number :
Provider Business Practice Location Address
First Line : 3740 N JOSEY LN STE 145
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2471
Country : US
Telephone Number : 469-701-2333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 05/03/2022

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Directions to “ SHLOMIT TANIA OLIEL MARQUEZ LPCA” Practice Location

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