MEDICARE: MS. ADRIANNE MICHELE ALBARADO M.S., L.P.C.

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	61215	TX

General Provider Information

NPI Number	:	1700073335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIANNE MICHELE ALBARADO M.S., L.P.C.

Provider Business Mailing Address
First Line	:	424 S OAKES ST
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-5944
Country	:	US
Telephone Number	:	325-486-4500
Fax Number	:	325-486-2968

Provider Business Practice Location Address
First Line	:	424 S OAKES ST
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76903-5944
Country	:	US
Telephone Number	:	325-486-4500
Fax Number	:	325-486-2968

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

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	09/27/2007

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