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Individual
MARISOL CERVANTES
Active
Individual
MARISOL CERVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASE MANAGEMENT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
76244
TX
101YP2500X
Professional Counselor
Primary
76244
TX
171M00000X
Case Manager/Care Coordinator
76244
TX
251B00000X
Case Management Agency
76244
TX
Other
Enumeration date
08/28/2018
Last updated
07/22/2024
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