Individual provider · Type 1 NPI
Mary G. Mayorga, PhD
Professional Counselor · Victoria, TX
NPI number
1093047359
Active
Practice location
3904 John Stockbauer Dr, #106
Victoria, TX 77904-2450
Mailing address
302 Salisbury Ln
Victoria, TX 77904-2204
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 18031 (TX) |
Professional Counselor: Definition to come...
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About NPI 1093047359
Mary G. Mayorga, PhD's National Provider Identifier is 1093047359, issued on Feb 10, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Victoria, TX. The record was last updated on Feb 10, 2010.