| Ic Counseling And Consultation | |
|
12119 Grand Arches Ln Humble TX 77346-3686 | |
| (281) 513-2279 | |
| Not Available |
| Full Name | Ic Counseling And Consultation |
|---|---|
| Speciality | Counselor |
| Location | 12119 Grand Arches Ln, Humble, Texas |
| Authorized Official Name and Position | Irma Guardiola Castillo (LPC-S) |
| Authorized Official Contact | 2815132279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ic Counseling And Consultation 12119 Grand Arches Ln Humble TX 77346-3686 Ph: (281) 513-2279 | Ic Counseling And Consultation 12119 Grand Arches Ln Humble TX 77346-3686 Ph: (281) 513-2279 |
| NPI Number | 1427749498 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Medicare PECOS PAC ID | 8527410596 |
|---|---|
| Medicare Enrollment ID | O20240116002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427749498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Irma V. Guardiola-castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467759571 PECOS PAC ID: 9436501400 Enrollment ID: I20240116003239 |
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