MEDICARE: MRS. CLAUDIA SERENO

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1861156911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CLAUDIA SERENO

Provider Business Mailing Address
First Line	:	122 BUTTERCUP ST
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-4726
Country	:	US
Telephone Number	:	281-382-1067
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 BUTTERCUP ST
Second Line	:
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-4726
Country	:	US
Telephone Number	:	281-382-1067
Fax Number	:

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

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	10/25/2021

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Directions to “ MRS. CLAUDIA SERENO ” Practice Location

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