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NPI Code Detail

MEDICARE: JEZIEL RIOS ELIZONDO LPC

MEDICARE:   JEZIEL  RIOS ELIZONDO  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 Counselor95361TX

General Provider Information

NPI Number : 1861343824
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEZIEL RIOS ELIZONDO LPC
Provider Business Mailing Address
First Line : 1614 MELROSE ST
Second Line :
City : GARLAND
State : TX
Zip : 75042-4217
Country : US
Telephone Number : 214-668-4726
Fax Number :
Provider Business Practice Location Address
First Line : 3242 REMOND DR
Second Line :
City : DALLAS
State : TX
Zip : 75211
Country : US
Telephone Number : 214-743-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ JEZIEL RIOS ELIZONDO LPC” Practice Location

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