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Organization
MINT COUNSELING CENTER
Active
Organization
MINT COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY OLIVARES (OFFICE/BILLING MANAGER)
(979) 429-2559
Entity
Organization
Contact information
Practice address
2104 AVENUE D, BAY CITY, TX 77414-4902
(979) 429-2488
(979) 429-2473
Mailing address
2104 AVENUE D, BAY CITY, TX 77414-4902
(979) 429-2488
(979) 429-2473
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801107180
—
TX
Enumeration date
11/14/2019
Last updated
10/07/2020
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