| NPI | 1679726756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY JO DEKUEHN Office Manager/Counselor 940-565-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 9871) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 15906) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |