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NPI Code Detail

MEDICARE: MRS. GEORGINA GONZALEZ CAMACHO LPC, NCC

MEDICARE: MRS. GEORGINA GONZALEZ CAMACHO LPC, NCC
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
1101YP2500XProfessional Counselor19031TX

Other Identifiers

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

General Provider Information

NPI Number : 1801839055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GEORGINA GONZALEZ CAMACHO LPC, NCC
Provider Business Mailing Address
First Line : 9930 SANDLET TRL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78254-5874
Country : US
Telephone Number : 210-724-6229
Fax Number :
Provider Business Practice Location Address
First Line : 3031 IH 10 W
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78201-5159
Country : US
Telephone Number : 210-731-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 08/17/2023

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