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Organization
TEXAS BEHAVIORAL HEALTH ASSOCIATES, PLLC
Active
Organization
TEXAS BEHAVIORAL HEALTH ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER VAZQUEZ LPC, LCDC, HS-BCP (CEO)
(361) 356-4474
Entity
Organization
Contact information
Practice address
5633 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78411-4646
(361) 356-4474
Mailing address
5633 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78411-4646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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