Organization
FAMILY COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY GUTIERREZ (CONTRACT SUPERVISOR)
(361) 852-9665
Entity
Organization
Contact information
Practice address
3833 S STAPLES ST, S-203, CORPUS CHRISTI, TX 78411-5201
(361) 852-9665
(361) 852-2794
Mailing address
3833 S STAPLES ST, S-203, CORPUS CHRISTI, TX 78411-5201
(361) 852-9665
(361) 852-2794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R58M
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/25/2006
Last updated
08/22/2020
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