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NPI Code Detail

MEDICARE: JENNIFER LEE BLANCO LPC

MEDICARE: JENNIFER LEE BLANCO 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 Counselor82561TX

General Provider Information

NPI Number : 1316532633
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEE BLANCO LPC
Provider Business Mailing Address
First Line : 1901 S 24TH AVE
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6533
Country : US
Telephone Number : 956-289-7000
Fax Number : 956-289-7257
Provider Business Practice Location Address
First Line : 1901 S 24TH AVE
Second Line :
City : EDINBURG
State : TX
Zip : 78539-6533
Country : US
Telephone Number : 956-289-7000
Fax Number : 956-289-7257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2021
Last Update Date : 12/11/2025

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Directions to “ JENNIFER LEE BLANCO LPC” Practice Location

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