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NPI Code Detail

MEDICARE: ANGIE SEVILLANO-VALDES

MEDICARE: ANGIE SEVILLANO-VALDES
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
1101YP2500XProfessional Counselor81203TX
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1588227730
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGIE SEVILLANO-VALDES
Provider Business Mailing Address
First Line : 4818 EVERHART RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78411-2738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8588 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1853
Country : US
Telephone Number : 844-824-8775
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2019
Last Update Date : 03/30/2026

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Directions to “ ANGIE SEVILLANO-VALDES ” Practice Location

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