NPI age
20 years
Enumerated 2005-09-14
Across 23131 active counselor providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 027684202 | |
| 01 (TX) | 60971 | HORIZON BEHAVIORAL ID |
| 01 (TX) | 3623LC | BCBS PROVIDER ID |
| 01 (TX) | LPC14599 | TEXAS STATE LICENSE |
| 05 (TX) | 276842-01 |
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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