Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 70252 | TX |
NPI | 1003362286 |
---|---|
Provider Name | Allie Baldwin Scott |
First Address | Houston, TX 77070-4863 |
Second Address | Houston, TX 77070-4863 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2016 |
Last Update Date | 29/08/2016 |