MEDICARE: CARLOS BRANDON FLORES JUAREZ LMHCA

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	101YM0800X	Mental Health Counselor	MC.70102109	WA

General Provider Information

NPI Number	:	1245904259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS BRANDON FLORES JUAREZ LMHCA

Provider Business Mailing Address
First Line	:	820 N CHELAN AVE
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-2028
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	630 N CHELAN AVE STE A7
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-6622
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

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

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	06/04/2026

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