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NPI Code Detail

MEDICARE: VERONICA CERVANTES LPC

MEDICARE: VERONICA CERVANTES 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
1101YM0800XMental Health Counselor0185601NM
2171M00000XCase Manager/Care CoordinatorNM
3101YP2500XProfessional Counselor91596TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942538681
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA CERVANTES LPC
Provider Business Mailing Address
First Line : 7191 WATERVIEW AVE
Second Line :
City : EL PASO
State : TX
Zip : 79915-4213
Country : US
Telephone Number : 915-433-3912
Fax Number :
Provider Business Practice Location Address
First Line : 1700 COVEMEADOW DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76012-5407
Country : US
Telephone Number : 972-559-9227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2009
Last Update Date : 02/23/2024

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Directions to “ VERONICA CERVANTES LPC” Practice Location

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