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Individual provider Active NPI Professional Counselor · Uvalde, TX

NPI 1891721452 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1891721452
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
11472 (TX)
Practice address
1022 Garner Field Rd
Uvalde, TX 78801-4867
Phone
(830) 279-4544
Fax
(830) 876-9076
NPI assigned
Jun 24, 2006
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 11472 TX Yes

Addresses

Primary practice location

1022 Garner Field Rd
Uvalde, TX 78801-4867

Mailing address

780 Cox LN
Carrizo Springs, TX 78834-4665
Phone (830) 876-9066

Other identifiers

IdentifierTypeStateIssuer
060827OtherTXVALUE OPTIONS PROVIDER NO
266591OtherTXCOMPSYCH PROVIDER NO.
2690LCOtherTXPROVIDER NO.

Other providers in Uvalde, TX

All providers in Uvalde, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.