MEDICARE: MS. CHUYONE RACHELLE MCGUIRE-FORD LPC, NCC

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	66269	TX
2	101YP2500X	Professional Counselor	3810	LA

General Provider Information

NPI Number	:	1386859460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHUYONE RACHELLE MCGUIRE-FORD LPC, NCC

Provider Business Mailing Address
First Line	:	12515 HIGHGROVE SPRINGS DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-4338
Country	:	US
Telephone Number	:	985-791-9085
Fax Number	:

Provider Business Practice Location Address
First Line	:	12515 HIGHGROVE SPRINGS DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-4338
Country	:	US
Telephone Number	:	985-791-9085
Fax Number	:

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	01/25/2022

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