Individual provider · Type 1 NPI
Mary Elizabeth Bode, MS
Professional Counselor · San Angelo, TX
NPI number
1619020252
Active
Practice location
412 Preusser St
San Angelo, TX 76903-3618
Mailing address
12441 Twin Lakes Ln
San Angelo, TX 76904-3973
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 10165 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1619020252
Mary Elizabeth Bode, MS's National Provider Identifier is 1619020252, issued on Jan 18, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Angelo, TX. The record was last updated on Jan 22, 2008.