Individual provider · Type 1 NPI

Blaine Cordova

Counselor · Spring, TX

NPI number 1124736434 Active

Practice location

26010 Oak Ridge Dr Ste 107
Spring, TX 77380-1972

Mailing address

13824 Winding Path Ln
Willis, TX 77378-1005

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X39578 (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.

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About NPI 1124736434

Blaine Cordova's National Provider Identifier is 1124736434, issued on Nov 7, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Spring, TX. The record was last updated on Nov 7, 2022.