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NPI Code Detail

MEDICARE: MRS. RHONDA MARLENE BURNELL LPC-S, CCTP

MEDICARE: MRS. RHONDA MARLENE BURNELL LPC-S, CCTP
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
1101Y00000XCounselor69427TX
2101YP2500XProfessional Counselor69427TX
3101YM0800XMental Health Counselor69427TX

General Provider Information

NPI Number : 1578981437
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RHONDA MARLENE BURNELL LPC-S, CCTP
Provider Business Mailing Address
First Line : 3055 STILLHOUSE LAKE RD STE 206
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-8861
Country : US
Telephone Number : 254-813-4357
Fax Number : 832-631-9862
Provider Business Practice Location Address
First Line : 3055 STILLHOUSE LAKE RD STE 206
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-8861
Country : US
Telephone Number : 254-813-4357
Fax Number : 832-631-9862
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2014
Last Update Date : 04/17/2024

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