# SQ THERAPY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851863690
- **Authorized official:** YAMEL SANDOVAL QUIJANO (SOLE MEMBER)
- **Authorized official phone:** (512) 730-1788

## Contact information

- **Practice address:** 609 W 18TH ST, AUSTIN, TX 78701-1142
- **Practice address phone:** (512) 730-1788
- **Mailing address:** 609 W 18TH ST, AUSTIN, TX 78701-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2018
- **Last updated:** 12/18/2018