Individual provider · Type 1 NPI

Trina K. Bluford Ita, LPC

Mental Health Counselor · Austin, TX

NPI number 1003124801 Active

Practice location

910 E Cesar Chavez St
Austin, TX 78702-4206

Call (888) 823-9194 Map

Fax (888) 708-9413

Mailing address

9009 N FM 620 Apt 1815
Austin, TX 78726-4224

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X65441 (TX)
Professional Counselor 101YP2500X65441 (TX)

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About NPI 1003124801

Trina K. Bluford Ita, LPC's National Provider Identifier is 1003124801, issued on Sep 15, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Sep 15, 2010.