| Ceci Burgos Counseling, Inc. | |
|
468 San Blas Dr El Paso TX 79912-4319 | |
| (915) 525-9246 | |
| Not Available |
| Full Name | Ceci Burgos Counseling, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 468 San Blas Dr, El Paso, Texas |
| Authorized Official Name and Position | Cecilia Burgos (PROPRIETOR) |
| Authorized Official Contact | 9155259246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ceci Burgos Counseling, Inc. 468 San Blas Dr El Paso TX 79912-4319 Ph: (915) 525-9246 | Ceci Burgos Counseling, Inc. 468 San Blas Dr El Paso TX 79912-4319 Ph: (915) 525-9246 |
| NPI Number | 1588876213 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/12/2024 |
| Certification Date | 06/12/2024 |
| Medicare PECOS PAC ID | 2668823402 |
|---|---|
| Medicare Enrollment ID | O20240506003944 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588876213 | NPI | - | NPPES |
| 027910101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 15330 (Texas) | Primary |
| Provider Name | Cecilia Burgos-gavaldon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215031356 PECOS PAC ID: 3577914316 Enrollment ID: I20240506004187 |
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