Organization
HENNEBURG COUNSELING CENTER, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ESTEFANIA VENEGAS (OFFICE ADMINISTRATOR)
(915) 778-3807
Entity
Organization
Contact information
Practice address
6090 SURETY DRIVE, SUITE 105, EL PASO, TX 79905-2060
(915) 778-3807
(915) 779-6600
Mailing address
6090 SURETY DRIVE, SUITE 105, EL PASO, TX 79905-2060
(915) 778-3807
(915) 779-6600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13071
TX
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
2088-A
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146664101
—
TX
Enumeration date
03/05/2007
Last updated
08/06/2014
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