Organization
INTERNATIONAL COUNSELING, SUPERVISION & CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUELA ELIZABETH LUGO MUNOZ LPC-S (CHIEF EXECUTIVE OFFICER)
(915) 255-8754
Entity
Organization
Contact information
Practice address
212 MELICENT ST, EL PASO, TX 79912-2114
(915) 270-7107
Mailing address
212 MELICENT ST, EL PASO, TX 79912-2114
(915) 270-7107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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