MEDICARE: CECELIA A MAURER 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	101YM0800X	Mental Health Counselor	61673	TX

General Provider Information

NPI Number	:	1376728261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECELIA A MAURER LPC

Provider Business Mailing Address
First Line	:	PO BOX 90231
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-9081
Country	:	US
Telephone Number	:	210-264-7400
Fax Number	:	210-967-1304

Provider Business Practice Location Address
First Line	:	1777 NE LOOP 410
Second Line	:	SUITE 627
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5209
Country	:	US
Telephone Number	:	210-264-7400
Fax Number	:	210-967-1304

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

Provider Enumeration Date	:	01/09/2008
Last Update Date	:	07/04/2014

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Directions to “ CECELIA A MAURER LPC” Practice Location

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