| Mary Ellen Moore-dominguez, | |
|
1901 S 24th Ave, Edinburg, TX 78539-6533 | |
| (956) 289-7025 | |
| (956) 289-7257 |
| Full Name | Mary Ellen Moore-dominguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1901 S 24th Ave, Edinburg, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179659 | NPI | - | NPPES |
| 00R945 | Other | TX | MEDICARE |
| 138708611 | Medicaid | TX | |
| 138708613 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 64939 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ellen Moore-dominguez, 1901 S 24th Ave, Edinburg, TX 78539-6533 Ph: (956) 289-7025 | Mary Ellen Moore-dominguez, 1901 S 24th Ave, Edinburg, TX 78539-6533 Ph: (956) 289-7025 |
Donna K Wallace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 S 24th Ave, Edinburg, TX 78539 Phone: 956-289-7000 Fax: 956-289-7257 | |
Carolina I Campos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5420 S Jackson Rd, Edinburg, TX 78539 Phone: 956-631-9000 Fax: 956-968-1402 | |
Raquel Ballesteros, Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 Peabody Ave Apt 1, Edinburg, TX 78539 Phone: 956-564-9605 | |
Monica Lexcinne Perez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2121 W Champion St, Edinburg, TX 78539 Phone: 956-207-7490 | |
Anna Maria Castillo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3118 Center Point Dr Ste 3, Edinburg, TX 78539 Phone: 956-687-8000 Fax: 956-687-8009 | |
Noe Americo Rios, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1512 E Silos Ave, Edinburg, TX 78542 Phone: 214-931-6934 | |
Isaac Rene Figueroa I, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 N Columbia Dr, Edinburg, TX 78541 Phone: 956-279-0143 |