NPI age
17 years
Enumerated 2008-07-21
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 2004037087 | LPC LICENSE |
| 01 (MO) | 2004037087 | PLPC LICENSE |
| 01 (TX) | 75462 | LPC-S LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES.
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