NPI | 1760191571 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA HUDSON Licensed Professional Counselor 214-546-0436 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |