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Individual

AGUSTIN BARAJAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRC, LPC-INTERN

Contact information

Practice address
7804 SANTA MONICA CT, EL PASO, TX 79915-2110
(915) 317-0785
Mailing address
7804 SANTA MONICA CT, EL PASO, TX 79915-2110
(915) 317-0785

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
00174746
TX
101Y00000X
Counselor
76800
TX
101YM0800X
Mental Health Counselor
76800
TX
225C00000X
Rehabilitation Counselor
Primary
00174746
TX

Other

Enumeration date
11/28/2016
Last updated
08/28/2020
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