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NPI Code Detail

MEDICARE: MRS. PAULINE AGULEFO M.ED-LPC

MEDICARE: MRS. PAULINE AGULEFO M.ED-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
1101YP2500XProfessional Counselor10724TX

General Provider Information

NPI Number : 1831493907
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULINE AGULEFO M.ED-LPC
Provider Business Mailing Address
First Line : 15800 SEAGOVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75253-5703
Country : US
Telephone Number : 972-892-7178
Fax Number :
Provider Business Practice Location Address
First Line : 15800 SEAGOVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75253-5703
Country : US
Telephone Number : 972-892-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 09/11/2024

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Directions to “ MRS. PAULINE AGULEFO M.ED-LPC” Practice Location

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