NPI age
7 years
Enumerated 2019-01-18
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 13366518 | STATE LICENSE |
| 05 (TX) | 2910937-01 |
Solo or small practice. No other active providers share this practice address in NPPES.
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