MEDICARE: MRS. NORMA LETICIA GUZMAN 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	85284	TX

General Provider Information

NPI Number	:	1508637513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NORMA LETICIA GUZMAN LPC

Provider Business Mailing Address
First Line	:	PO BOX 815
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-0815
Country	:	US
Telephone Number	:	830-370-8446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1205 COLLEGE ST
Second Line	:
City	:	JUNCTION
State	:	TX
Zip	:	76849-3920
Country	:	US
Telephone Number	:	830-370-8446
Fax Number	:

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

Provider Enumeration Date	:	01/10/2024
Last Update Date	:	01/10/2024

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