MEDICARE: BERNADETTE CHAVEZ PINON MA, LPC I, 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	65361	TX

General Provider Information

NPI Number	:	1467771162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNADETTE CHAVEZ PINON MA, LPC I, NCC

Provider Business Mailing Address
First Line	:	1600 STRICKLAND DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-6581
Country	:	US
Telephone Number	:	512-350-6038
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 CHICON ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78722-2428
Country	:	US
Telephone Number	:	512-735-2100
Fax Number	:

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

Provider Enumeration Date	:	05/20/2010
Last Update Date	:	05/20/2010

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