NPI age
17 years
Enumerated 2009-03-04
Across 11396 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | P1106044 | AR LICENSE |
| 01 (TX) | 74034 | TX LICENSE |
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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