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Organization
MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC
Active
Organization
MINDFUL INNOVATIONS COUNSELING SERVICES, PLLC
Active
Other names
Mindful Innovations Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO RODRIGUEZ (OWNER/DIRECTOR)
(210) 788-2762
Entity
Organization
Contact information
Practice address
8527 IVORY CREST DR, CONVERSE, TX 78109-3288
(210) 788-2762
Mailing address
8527 IVORY CREST DR, CONVERSE, TX 78109-3288
(210) 788-2762
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
P-1477967-8
AZ
Other
Enumeration date
01/30/2009
Last updated
02/06/2013
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