Marco Antonio Mora De La Fuente, LPC
Counselor, Professional in Brownsville, TX. Individual provider (NPI-1).
NPI number1245028091
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1245028091
- Entity type
- Individual (NPI-1)
- Name
- Marco Antonio Mora De La Fuente
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2025
- Certification date
- Apr 28, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 88813 | TX | Yes |
Practice location
191 E Price RdBrownsville, TX 78521-3527
Phone 956-548-7400
Mailing address
1415 Mulberry LnBrownsville, TX 78520-8263
Phone 956-312-9978
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