MEDICARE: JULIE MCPARLANE NIETO L.P.C., L.M.F.T.

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	106H00000X	Marriage & Family Therapist	235	TX
2	101YM0800X	Mental Health Counselor	10520	TX

General Provider Information

NPI Number	:	1932824620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MCPARLANE NIETO L.P.C., L.M.F.T.

Provider Business Mailing Address
First Line	:	2814 CHAUCER DR
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-8096
Country	:	US
Telephone Number	:	281-793-5191
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 LONGMIRE RD UNIT 1001
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-2103
Country	:	US
Telephone Number	:	713-641-5656
Fax Number	:

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

Provider Enumeration Date	:	10/05/2022
Last Update Date	:	10/05/2022

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