| NPI | 1508364993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE ANN DUNMORE Lpc 512-786-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62846) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8987) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2018-01-31 |