NPI age
19 years
Enumerated 2007-03-02
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 0270605 | |
| 01 (TX) | 256515 | VALUE OPTIONS ID# |
| 01 (TX) | 4130LC | BCBS PROVIDER # |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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