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NPI Code Detail

MEDICARE: EVELYN NUNEZ MA, LPC, LCDC

MEDICARE:   EVELYN  NUNEZ  MA, LPC, LCDC
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) Counselor21617TX
2101YM0800XMental Health Counselor71580TX

General Provider Information

NPI Number : 1235506320
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN NUNEZ MA, LPC, LCDC
Provider Business Mailing Address
First Line : 2717 COMMERCIAL CENTER BLVD STE E200
Second Line :
City : KATY
State : TX
Zip : 77494-6410
Country : US
Telephone Number : 956-458-2200
Fax Number :
Provider Business Practice Location Address
First Line : 2717 COMMERCIAL CENTER BLVD STE E200
Second Line :
City : KATY
State : TX
Zip : 77494-6410
Country : US
Telephone Number : 956-458-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2015
Last Update Date : 07/14/2016

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Directions to “ EVELYN NUNEZ MA, LPC, LCDC” Practice Location

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