Individual
DANILO JOSE NOVOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4617 MONTROSE BLVD, SUITE C206, HOUSTON, TX 77006-6101
(713) 992-5010
(888) 480-8948
Mailing address
415 E 27TH ST, HOUSTON, TX 77008-2203
(713) 992-5010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
9717
TX
1041C0700X
Clinical Social Worker
Primary
38953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB111128
TRAILBLAZER ENTERPRISES (MEDICARE/CMS)
TX
Enumeration date
12/13/2007
Last updated
07/12/2012
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