Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 82958 | TX |
NPI | 1003578618 |
---|---|
Provider Name | Anjana Parad |
First Address | Georgetown, TX 78626-6821 |
Second Address | Round Rock, TX 78664-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2021 |
Last Update Date | 24/01/2022 |