Individual provider · Type 1 NPI
Mindy Block Bacchus, LPC
Professional Counselor · Georgetown, TX
NPI number
1124313432
Active
Practice location
404 W 9th St, Suite 104
Georgetown, TX 78626-5543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 63473 (TX) |
Professional Counselor: Definition to come...
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About NPI 1124313432
Mindy Block Bacchus, LPC's National Provider Identifier is 1124313432, issued on Jun 14, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Georgetown, TX. The record was last updated on Jun 14, 2011.