Individual
MR. BOBBY JOE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LSOTP, LSSP,LCD
Contact information
Practice address
1079 COUNTY ROAD 484, STEPHENVILLE, TX 76401-7073
(254) 965-6419
Mailing address
1079 COUNTY ROAD 484, STEPHENVILLE, TX 76401-7073
(254) 965-6419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
94250
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
3590
TX
101YM0800X
Mental Health Counselor
12730
TX
101YP2500X
Professional Counselor
Primary
9710
TX
103TS0200X
School Psychologist
6770
TX
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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