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Individual
VIRGINIA CAROL RENFROE
Active
Individual
VIRGINIA CAROL RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0076931
NM
101YP2500X
Professional Counselor
Primary
19759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1794851
—
TX
01
—
273705
COMPSYCH PROVIDER #
TX
01
—
7237LC
BLUECROSSBLUESHEILD OF TX
TX
01
—
9432428
PHCS PROVIDER #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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