Sarah Soto, LPC

Individual provider Active NPI Professional Counselor · Odem, TX

NPI 1154861664 · NPPES record last updated Mar 2, 2017

Key facts

NPI
1154861664
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
73862 (TX)
Practice address
15336 County Road 1568
Odem, TX 78370-4243
Phone
(361) 437-9350
NPI assigned
Mar 2, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
73862TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 73862 TX Yes

Addresses

Primary practice location

15336 County Road 1568
Odem, TX 78370-4243

Mailing address

15336 County Road 1568
Odem, TX 78370-4243
Phone (361) 437-9350

Other providers in Odem, TX

All providers in Odem, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.