JORGE RODOLFO MANDUJANO LPC-A
NPI 1023847118
Counselor - Professional in Cypress, TX
Active since July 29, 2024
About Jorge Rodolfo Mandujano Lpc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORGE RODOLFO MANDUJANO LPC-A (NPI 1023847118) is an individual professional provider in Cypress, Texas, licensed in Texas (95641) and active in the NPI registry since July 2024.
NPPES Registry Identity
NPI1023847118
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJORGE RODOLFO MANDUJANOCredential: LPC-A
Location Address27240 HIGHWAY 290Cypress, TX 77433-4907
Mailing Address11208 Kentucky Oaks DrConroe, TX 77304-2876 · (936) 333-7533
Phone(936) 333-7533
Sole ProprietorNo
Enumeration DateJuly 29, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
✔ NPI 1023847118 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 95641
27240 HIGHWAY 290, Cypress, TX 77433
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
27240 HIGHWAY 290
CYPRESS, TX 77433
CYPRESS, TX 77433
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023847118, enumerated as an "individual" on July 29, 2024.
The provider is located at 27240 HIGHWAY 290 CYPRESS, TX 77433 and the phone number is (936) 333-7533.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
