Organization · Type 2 NPI
Self Employeed
Professional Counselor · Conroe, TX
NPI number
1427405307
Active
Practice location
2 Iris Arbor Ct
Conroe, TX 77301-1172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 68520 (TX) |
| Marriage & Family Therapist | 106H00000X | 201806 (TX) |
Professional Counselor: Definition to come...
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About NPI 1427405307
Self Employeed's National Provider Identifier is 1427405307, issued on May 19, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conroe, TX. The record was last updated on May 19, 2016.