| NPI | 1689710709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE M JEFFERS Owner 325-942-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: TX 21733) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 12487) |
| 101YP2500X Counselor Professional (Licence: TX 13927) | |
| 1041C0700X Social Worker Clinical (Licence: TX 06774) | |
| 1041C0700X Social Worker Clinical (Licence: TX 24163) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-05-08 |