Organization · Type 2 NPI
Trauma Detox PLLC
Professional Counselor · Georgetown, TX
NPI number
1043862246
Active
Practice location
3613 Williams Dr Ste 1006
Georgetown, TX 78628-1376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1043862246
Trauma Detox PLLC's National Provider Identifier is 1043862246, issued on Jul 9, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Georgetown, TX. The record was last updated on Jul 9, 2019.