MEDICARE: MRS. DENIS FLORES LPC ASSOCIATE

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	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1649952623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DENIS FLORES LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	3406 DEL NORTE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-8783
Country	:	US
Telephone Number	:	956-458-1569
Fax Number	:

Provider Business Practice Location Address
First Line	:	3406 DEL NORTE
Second Line	:
City	:	MISSION
State	:	TX
Zip	:	78574-8783
Country	:	US
Telephone Number	:	956-458-1569
Fax Number	:

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

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	08/01/2023

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