Organization · Type 2 NPI

Legal Business Name

Professional Counselor · Joshua, TX

NPI number 1669200804 Active

Practice location

120 Independence Dr
Joshua, TX 76058-4645

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1669200804

Legal Business Name's National Provider Identifier is 1669200804, issued on Jul 22, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Joshua, TX. The record was last updated on Jul 22, 2024.