NPI age
11 years
Enumerated 2014-07-29
Across 23131 active counselor providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MA) | 1303295 | |
| 05 (MA) | 1307576 | |
| 01 (MA) | M18463 | BLUE CROSS BLUE SHIELD |
Solo or small practice. No other active providers share this practice address in NPPES.
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