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NPI 1457057721 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3417 73rd St Ste 27
Lubbock, TX 79423 - Phone
- (806) 543-7898
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas