Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 81337 | TX |
NPI | 1003469503 |
---|---|
Provider Name | Guadalupe Garcia |
First Address | Pearland, TX 77581-4216 |
Second Address | Houston, TX 77030-2358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2019 |
Last Update Date | 22/06/2020 |