Organization · Type 2 NPI

McLennan County

Counselor · Waco, TX

NPI number 1104123926 Active

Practice location

2601 Gholson Rd
Waco, TX 76704-1106

Fax (254) 799-4902

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	19676 (TX)
Social Worker	104100000X	19676 (TX)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Other counselor providers in Waco

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NPI record

NPI: 1104123926
Entity type: Organization (Type 2)
Issued: Feb 14, 2011
Last updated: Feb 14, 2011
Status: Active
Subpart: Yes of McLennan County

Other names

<unavail>
Bill Logue Juvenile Justice Center · other name

Authorized official

Mr. Robert Campos, BSW
Director (chief Probation Officer)
(254) 757-5072

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104123926

McLennan County's National Provider Identifier is 1104123926, issued on Feb 14, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waco, TX. The record was last updated on Feb 14, 2011.