Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 78700 | TX |
NPI | 1003429606 |
---|---|
Provider Name | Torgeir Rem Aavik |
First Address | San Antonio, TX 78229-3367 |
Second Address | San Antonio, TX 78229-3367 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2020 |
Last Update Date | 25/08/2020 |