NPI age
19 years
Enumerated 2006-08-04
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 8388 | STATE LICENSE LPC |
| 01 (TX) | 4044LC | BLUE CROSS |
| 01 (TX) | 2271871 | AETNA |
| 01 (TX) | 2688 | STATE BIOFEEDBACK LICENSE |
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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