NPI age
19 years
Enumerated 2007-04-17
Across 11396 active counselor providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1792343-01 | |
| 05 (TX) | 1792343-02 | |
| 05 (TX) | 1792343-03 |
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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