Provider Demographics
NPI:1770765349
Name:MAGNO, DAVIN E (MED, LPC)
Entity type:Individual
Prefix:
First Name:DAVIN
Middle Name:E
Last Name:MAGNO
Suffix:
Gender:M
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 1:616 N VIRGINIA ST STE F
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5311
Mailing Address - Country:US
Mailing Address - Phone:915-544-3500
Mailing Address - Fax:915-544-3503
Practice Address - Street 1:1510 N ZARAGOZA RD STE A11
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-7893
Practice Address - Country:US
Practice Address - Phone:915-544-3500
Practice Address - Fax:915-544-3503
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17147101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional