| NPI | 1033504790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN FERGUSON Counselor 469-828-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70116) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |