in - Professional

- NPI 1053461962

is a Professional in , . practices all healthcare services and medical treatments related to Professional. The NPI Number for is 1053461962. The last update date is .

's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!

Provider Profile Detail

Provider Name
Address , ,
Phone Number
Fax Number
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1053461962
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address
City
State ()
Post Code
Phone Number
Fax Number

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 16933
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200077440A OK --
XXX TX --

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