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Individual

GARY MACEOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-A, CRC, NCC

Contact information

Practice address
4157 RIO BRAVO ST, EL PASO, TX 79902-1016
(915) 533-8696
Mailing address
4157 RIO BRAVO ST, EL PASO, TX 79902-1016
(155) 338-6969

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
93513
TX
101YM0800X
Mental Health Counselor
93513
TX
101YP2500X
Professional Counselor
93513
TX
225C00000X
Rehabilitation Counselor
642214

Other

Enumeration date
12/15/2023
Last updated
12/27/2023
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