MEDICARE: MONICA ANN AVALOS 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	77877	TX

General Provider Information

NPI Number	:	1497408223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA ANN AVALOS LPC

Provider Business Mailing Address
First Line	:	4804 BEGGS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77009-2703
Country	:	US
Telephone Number	:	713-702-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N SHEPHERD DR STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-5510
Country	:	US
Telephone Number	:	713-898-2366
Fax Number	:

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

Provider Enumeration Date	:	02/01/2022
Last Update Date	:	02/01/2022

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Directions to “ MONICA ANN AVALOS LPC” Practice Location

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