NPI age
19 years
Enumerated 2006-11-01
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 052194000 | MAGELLAN PROV ID |
| 01 (TX) | 1017LC | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 025581201 | |
| 01 (TX) | 128615 | MHN PROVIDER ID |
| 01 (TX) | 10029868 | AMERIGROUP PROV. ID |
| 01 (TX) | 143906 | VALUEOPTIONS ID |
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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