Organization
BLOOMING PATH, LLC
Active
Other names
Daisy S Vergara, LPC
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY S VERGARA LPC (OWNER)
(512) 481-2452
Entity
Organization
Contact information
Practice address
306 E MAIN ST, STE# 102, ROUND ROCK, TX 78664-5215
(512) 481-2452
(512) 535-5880
Mailing address
306 E MAIN ST, STE# 102, ROUND ROCK, TX 78664-5215
(512) 481-2452
(512) 535-5880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65961
TX
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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