Provider Demographics
NPI:1417050808
Name:HUFNAGEL, MARCE ANN (MED LPC)
Entity Type:Individual
Prefix:MS
First Name:MARCE
Middle Name:ANN
Last Name:HUFNAGEL
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 GUILLOT STREET
Mailing Address - Street 2:APT 2710
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:469-583-0230
Mailing Address - Fax:
Practice Address - Street 1:201 S MADISON AVENUE
Practice Address - Street 2:ADVANTAGE HEALTHCARE SYSTEMS
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208
Practice Address - Country:US
Practice Address - Phone:214-941-4550
Practice Address - Fax:214-941-4562
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85314LOtherBCBS
TX85313LOtherBCBS