Individual provider · Type 1 NPI

Samantha A. Borrego Maccallon, LPC

Professional Counselor · Austin, TX

NPI number 1831656867 Active

Practice location

5601 Manchaca Rd
Austin, TX 78745-3633

Fax (512) 887-3970

Mailing address

1221 W Ben White Blvd Ste 210A
Austin, TX 78704-7182

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X72119 (TX)

Professional Counselor: Definition to come...

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About NPI 1831656867

Samantha A. Borrego Maccallon, LPC's National Provider Identifier is 1831656867, issued on Feb 26, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Feb 26, 2019.