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Individual

DR. MAIDA ISABEL MASCORRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, NCC, LPC

Contact information

Practice address
106 S PORTALEZA AVE, ROMA, TX 78584
(956) 849-9620
(956) 849-9620
Mailing address
2001 ROBIN AVE, MCALLEN, TX 78504-3837
(956) 358-6001
(956) 358-6001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96226
TX
101YP2500X
Professional Counselor
14929
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6119LC
BLUE CROSS BLUE SHIELD
TX
01
855958
SUPERIOR HEALTH PLAN
TX
Enumeration date
01/31/2007
Last updated
09/11/2025
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