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Individual
MRS. LAURENE LOUISE PELLICCIA
Active
Individual
MRS. LAURENE LOUISE PELLICCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73693
TEXAS BEHAVIORAL HEALTH EXEUTIVE COUNCIL
TX
Enumeration date
01/26/2021
Last updated
01/26/2021
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