NPI age
11 years
Enumerated 2014-06-18
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 12430032 | CAQH |
| 01 (TX) | 860LPJ | BCBS |
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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