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Organization
PSYCHOLOGICAL CONCEPTS
Active
Organization
PSYCHOLOGICAL CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNIE C. LA QUAY II L.P.C. (OWNER)
(361) 578-2800
Entity
Organization
Contact information
Practice address
1501 E RED RIVER ST, SUITE A-1, VICTORIA, TX 77901-5522
(361) 578-2800
(361) 578-2804
Mailing address
1501 E RED RIVER ST., SUITE A-1, VICTORIA, TX 77901-5522
(361) 578-2800
(361) 578-2804
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18848
TX
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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