MEDICARE: HELEN D CANDELARIA 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
1	101YP2500X	Professional Counselor	84343	TX

General Provider Information

NPI Number	:	1811685787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN D CANDELARIA LPC

Provider Business Mailing Address
First Line	:	4117 RIVER BEND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79922-1918
Country	:	US
Telephone Number	:	575-404-5878
Fax Number	:

Provider Business Practice Location Address
First Line	:	4117 RIVER BEND DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79922-1918
Country	:	US
Telephone Number	:	575-404-5878
Fax Number	:

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

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/27/2023

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Directions to “ HELEN D CANDELARIA LPC” Practice Location

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