NPI age
19 years
Enumerated 2006-07-26
Across 23131 active counselor providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0289589-06 | |
| 01 (TX) | 6675LC | BLUE CROSS |
| 05 (TX) | 0289589-07 |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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