| NPI | 1952726754 |
|---|---|
| Former Name | STEPHANIE M GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69173) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 69173) |
| 101YM0800X Counselor, Mental Health (Licence: TX 69173) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2020-01-28 |