NPI age
19 years
Enumerated 2006-07-29
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 141877403 | |
| 01 (TX) | 125202 | CHIP |
| 01 (TX) | 7636153 | AETNA |
| 01 (TX) | 83708L | BLUE CROSS/BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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