Organization
SQ THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAMEL SANDOVAL QUIJANO (SOLE MEMBER)
(512) 730-1788
Entity
Organization
Contact information
Practice address
609 W 18TH ST, AUSTIN, TX 78701-1142
(512) 730-1788
Mailing address
609 W 18TH ST, AUSTIN, TX 78701-1142
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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