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NPI Code Detail

MEDICARE: MARY ANN CORREA

MEDICARE: MARY ANN CORREA
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 Counselor88650TX

General Provider Information

NPI Number : 1932064284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ANN CORREA
Provider Business Mailing Address
First Line : 301 PRUITT RD APT 227
Second Line :
City : SPRING
State : TX
Zip : 77380-3059
Country : US
Telephone Number : 956-975-6774
Fax Number :
Provider Business Practice Location Address
First Line : 301 PRUITT RD APT 227
Second Line :
City : SPRING
State : TX
Zip : 77380-3059
Country : US
Telephone Number : 956-975-6774
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ MARY ANN CORREA ” Practice Location

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