Individual
ANNIE LISSETTE SEPULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8935 MARKS ST APT A, EL PASO, TX 79904-1564
(719) 433-1354
Mailing address
8935 MARKS ST APT A, EL PASO, TX 79904-1564
(719) 433-1354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
86289
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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