Gamboa, Marcel
Gamboa, Marcel is an sole proprietor health care provider with primary practice located at 5870 Highway 6 N Ste 310 , Houston TX 77084-1850. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Gamboa, Marcel can be contacted via phone (713) 705-9613.Contact Information
Primary practice address
5870 Highway 6 N Ste 310
Houston TX 77084-1850
Phone: (713) 705-9613
Fax: (713) 955-0275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 18855 | Texas |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 18855 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 18855 | Texas |
Profile Details
| NPI number | 1740306927 |
|---|---|
| LBN Legal business name | Gamboa, Marcel |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Jun 27th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740306927 | NPPES |
| Texas | MEDICAID | 167999503 | |
| Texas | MEDICAID | 167999502 |
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