NPI age
19 years
Enumerated 2006-11-13
Across 11396 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 2022519-02 | |
| 01 (TX) | 010822112 | TAX ID |
| 05 (TX) | 2022519-01 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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