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Provider Information for 1427067883


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Mr. MICHAEL MUNIZ LPC-S


Sex: Male

NPI: 1427067883
Last Updated: 2013-02-07
Certification Date:

Details

NameValue
NPI1427067883
Enumeration Date2006-08-05
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 315 E JACKSON ST
HARLINGEN, TX 78550-6849
United States

Phone: 956-364-1111 | Fax:888-219-5169
 
Primary Practice Address 315 E JACKSON ST
HARLINGEN, TX 78550-6849
United States

Phone: 956-364-1111 | Fax:888-219-5169
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX1770695-01
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX19872