Organization · Type 2 NPI
Specialized Transformation
Professional Counselor · Grand Prairie, TX
NPI number
1235495607
Active
Practice location
2305 Corn Valley Rd, 230-4B
Grand Prairie, TX 75051-8804
Fax (866) 326-6765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 64618 (TX) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1235495607
Specialized Transformation's National Provider Identifier is 1235495607, issued on Apr 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Prairie, TX. The record was last updated on Apr 10, 2012.