Organization
EL PASO CHILD GUIDANCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY GAYTAN LCSW (EXECUTIVE DIRECTOR)
(915) 562-1999
Entity
Organization
Contact information
Practice address
2701 E YANDELL DR, EL PASO, TX 79903-3726
(915) 562-1999
(915) 562-1993
Mailing address
2701 E YANDELL DR, EL PASO, TX 79903-3726
(915) 562-1999
(915) 562-1993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L340
BCBSTX
TX
05
—
083713001
—
TX
Enumeration date
08/25/2006
Last updated
02/03/2021
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