MEDICARE: LAURA MARIE ALPER MA, LCDC

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	14026	TX

General Provider Information

NPI Number	:	1730693698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA MARIE ALPER MA, LCDC

Provider Business Mailing Address
First Line	:	18219 CARRIAGE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3447
Country	:	US
Telephone Number	:	281-786-5833
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 LAVENDER ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77026-1725
Country	:	US
Telephone Number	:	281-786-5833
Fax Number	:

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

Provider Enumeration Date	:	11/29/2017
Last Update Date	:	11/29/2017

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