Provider Demographics
NPI:1164153334
Name:ABUSALBI, MARCELLE (LPC)
Entity Type:Individual
Prefix:
First Name:MARCELLE
Middle Name:
Last Name:ABUSALBI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARCELLE
Other - Middle Name:
Other - Last Name:ABOUSALBI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1345 LONGHORN RANCH DR
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-5136
Mailing Address - Country:US
Mailing Address - Phone:737-346-9330
Mailing Address - Fax:
Practice Address - Street 1:1345 LONGHORN RANCH DR
Practice Address - Street 2:
Practice Address - City:LEANDER
Practice Address - State:TX
Practice Address - Zip Code:78641-5136
Practice Address - Country:US
Practice Address - Phone:737-346-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health