MEDICARE: MS. NADIA EMELIA KARGBO 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	73763	TX

General Provider Information

NPI Number	:	1528565280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NADIA EMELIA KARGBO LPC

Provider Business Mailing Address
First Line	:	3431 RAYFORD RD
Second Line	:	STE 200 PMB 317
City	:	SPRING
State	:	TX
Zip	:	77386
Country	:	US
Telephone Number	:	346-644-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	3431 RAYFORD RD
Second Line	:	STE 200 PMB 317
City	:	SPRING
State	:	TX
Zip	:	77386
Country	:	US
Telephone Number	:	346-644-6288
Fax Number	:

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	08/19/2024

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