NPI age
19 years
Enumerated 2006-08-14
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 142645401 | |
| 01 (TX) | 275450 | COMPSYCH |
| 01 (TX) | 5388 LC | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 84900L | BC/BS OF TX |
| 05 (TX) | 142645404 |
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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