| NPI | 1639064587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS A COURET Lcpc, Authorized Official 872-238-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |