NPI age
19 years
Enumerated 2007-02-20
Across 3770 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 168147001 | |
| 01 (TX) | 84473L | BLUE CROSS ID NUMBER |
Solo or small practice. No other active providers share this practice address in NPPES.
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