MEDICARE: MARCO ANTONIO ORNELAS 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	101YP2500X	Professional Counselor	99618	TX

General Provider Information

NPI Number	:	1821975004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCO ANTONIO ORNELAS LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	13806 RIO CONCHOS RD
Second Line	:
City	:	CLINT
State	:	TX
Zip	:	79836-2201
Country	:	US
Telephone Number	:	915-764-8546
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 EXECUTIVE CENTER BLVD STE 234
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-1023
Country	:	US
Telephone Number	:	915-504-4449
Fax Number	:	915-779-9989

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

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “ MARCO ANTONIO ORNELAS LPC-ASSOCIATE” Practice Location

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