| NPI | 1588654701 |
|---|---|
| Other Name | SUBURBAN PASTORAL COUNSELING CLINIC, INC. |
| Entity Type | Organization |
| Authorized Contact | TYLER JAMES HOWARD Clinical Director 979-450-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC1801) |
| 104100000X Social Worker (Licence: MD 13411) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2024-04-05 |