Provider Demographics
NPI:1285418590
Name:MARCOLINO, CELINA (LPC)
Entity type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:MARCOLINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26707 CEDARDALE PINES DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7201
Mailing Address - Country:US
Mailing Address - Phone:832-745-7825
Mailing Address - Fax:
Practice Address - Street 1:23410 GRAND RESERVE DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4985
Practice Address - Country:US
Practice Address - Phone:832-745-7825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional