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NPI Code Detail

MEDICARE: MR. MARCEL GAMBOA LPC

MEDICARE:  MR. MARCEL  GAMBOA  LPC
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
1101Y00000XCounselor18855TX
2101YM0800XMental Health Counselor18855TX
3101YP2500XProfessional Counselor18855TX

Other Identifiers

General Provider Information

NPI Number : 1740306927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARCEL GAMBOA LPC
Provider Business Mailing Address
First Line : 5870 HIGHWAY 6 N STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77084-1850
Country : US
Telephone Number : 281-299-8607
Fax Number : 713-955-0275
Provider Business Practice Location Address
First Line : 5870 HIGHWAY 6 N STE 310
Second Line :
City : HOUSTON
State : TX
Zip : 77084-1850
Country : US
Telephone Number : 713-705-9613
Fax Number : 713-955-0275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 06/27/2024

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Directions to “ MR. MARCEL GAMBOA LPC” Practice Location

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