Organization · Type 2 NPI
Cardinal Community Clinic
Professional Counselor · Beaumont, TX
NPI number
1073904702
Active
Practice location
4400 Mlk Boulevard
Beaumont, TX 77710-0000
Fax (409) 880-2263
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1073904702
Cardinal Community Clinic's National Provider Identifier is 1073904702, issued on Feb 17, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaumont, TX. The record was last updated on Mar 20, 2015.