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Individual
MELISSA ELIZABETH AGUAYO
Active
Individual
MELISSA ELIZABETH AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75697
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
12044
TX
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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