Individual provider · Type 1 NPI
Mary Vixaisack, LPC
Professional Counselor · Lewisville, TX
NPI number
1780177832
Active
Practice location
937 Golden Grove Dr
Lewisville, TX 75067-6118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 71432 (TX) |
Professional Counselor: Definition to come...
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About NPI 1780177832
Mary Vixaisack, LPC's National Provider Identifier is 1780177832, issued on Jun 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lewisville, TX. The record was last updated on May 12, 2020.