Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 101YM0800X | Mental Health Counselor | ||
Y | 101YP2500X | Professional Counselor | 79149 | TX |
N | 101YS0200X | School Counselor | TX |
NPI | 1215609466 |
---|---|
Provider Name | Virginia Lott |
First Address | Weatherford, TX 76086-5148 |
Second Address | Weatherford, TX 76086-5148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2021 |
Last Update Date | 05/10/2021 |