NPI age
19 years
Enumerated 2006-11-20
Across 23131 active counselor providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 230436 | MHN PROVIDER ID |
| 01 (TX) | 1679070 | CIGNA ID |
| 01 (TX) | 6612LC | BCBS |
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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