Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 20044 | TX |
NPI | 1003001470 |
---|---|
Provider Name | Emily Ann Farmer |
First Address | Lubbock, TX 79410-1411 |
Second Address | Lubbock, TX 79410-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 10/09/2007 |