| NPI | 1174990329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE KUYKENDALL-ROGERS Lpc 832-418-2479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16445) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16445) |
| 101YM0800X Counselor, Mental Health (Licence: TX 16445) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |