NPI age
20 years
Enumerated 2005-06-15
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1508236-01 | |
| 01 (TX) | 2119098 | CIGNA BEHAVIORAL HEALTH |
| 01 (TX) | 7605707 | AETNA |
| 01 (TX) | PENDL-0002 | COMPCARE PROVIDER ID |
| 01 (TX) | 11451816 | CAQH PROVIDER ID |
| 01 (TX) | 551895 | VALUE OPTIONS |
| 01 (TX) | 719494000 | MAGELLAN |
| 01 (TX) | 6088LC | BLUECROSS/BLUESHIELD |
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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