Adult And Adolescent Counseling, PLLC
Psychologist, Clinical in El Paso, TX. Organization (NPI-2).
NPI number1063568624
StatusActive
Last updated in NPPESFeb 27, 2024
Details
- NPI
- 1063568624
- Entity type
- Organization (NPI-2)
- Legal business name
- Adult And Adolescent Counseling, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2007
- Certification date
- Feb 27, 2024
- Last updated
- Feb 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 34562 | TX | Yes |
| 1041C0700X | Social Worker, Clinical | 30164 | TX |
Practice location
2332 Montana AveEl Paso, TX 79903-3604
Phone 915-545-1188 · Fax 915-544-9107
Mailing address
2332 Montana AveEl Paso, TX 79903-3604
Phone 915-545-1188 · Fax 915-544-9107
Authorized official
Betsy Nacim
Director
9155451188
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