MEDICARE: GUADALUPE SOLTERO MS, 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	101YM0800X	Mental Health Counselor	93403	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770141137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUADALUPE SOLTERO MS, LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	5928 MARLIN DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-5610
Country	:	US
Telephone Number	:	915-215-9454
Fax Number	:

Provider Business Practice Location Address
First Line	:	5928 MARLIN DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79924-5610
Country	:	US
Telephone Number	:	915-284-8504
Fax Number	:

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

Provider Enumeration Date	:	05/31/2019
Last Update Date	:	07/30/2024

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