MEDICARE: MRS. MARY HELEN FABELA 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	101YP2500X	Professional Counselor	58038	TX

General Provider Information

NPI Number	:	1386831972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY HELEN FABELA LPC

Provider Business Mailing Address
First Line	:	3137 CRAZY HORSE DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-2536
Country	:	US
Telephone Number	:	915-422-1745
Fax Number	:	915-779-5605

Provider Business Practice Location Address
First Line	:	6044 GATEWAY BLVD E STE 405
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-2037
Country	:	US
Telephone Number	:	915-779-5600
Fax Number	:	915-779-5605

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

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	09/27/2007

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