Individual provider · Type 1 NPI

Mary Ithil

Mental Health Counselor · Conroe, TX

NPI number 1679107668 Active · reactivated Jan 13, 2026

Practice location

3513 N Frazier St
Conroe, TX 77303-1430

Call (936) 648-5379 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X101122 (TX)

Mental Health Counselor: Definition to come...

10 other providers at this address

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About NPI 1679107668

Mary Ithil's National Provider Identifier is 1679107668, issued on Feb 27, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conroe, TX. The record was last updated on Jan 14, 2026.