Organization · Type 2 NPI
Texas Forward Visions, I. P.c.
Professional Counselor · Tyler, TX
NPI number
1215048855
Active
Practice location
1809 Gish Ln
Tyler, TX 75701-5142
Fax (903) 566-6905
Mailing address
PO Box 133182
Tyler, TX 75713-3182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 17435 (TX) |
Professional Counselor: Definition to come...
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About NPI 1215048855
Texas Forward Visions, I. P.c.'s National Provider Identifier is 1215048855, issued on Aug 31, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jun 6, 2008.