MEDICARE: MARIA FOLKERTH M.S., 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	92941	TX

General Provider Information

NPI Number	:	1902473655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA FOLKERTH M.S., LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	5529 WORTH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4929
Country	:	US
Telephone Number	:	214-334-4845
Fax Number	:

Provider Business Practice Location Address
First Line	:	5529 WORTH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75214-4929
Country	:	US
Telephone Number	:	214-334-4845
Fax Number	:

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

Provider Enumeration Date	:	06/09/2021
Last Update Date	:	02/16/2024

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Directions to “ MARIA FOLKERTH M.S., LPC-ASSOCIATE” Practice Location

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