| John W Garwood, Lpc, Lcdc | |
|
4314 Crested Butte Dr Corpus Christi TX 78413-4417 | |
| (361) 779-8628 | |
| Not Available |
| Full Name | John W Garwood, Lpc, Lcdc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4314 Crested Butte Dr, Corpus Christi, Texas |
| Authorized Official Name and Position | John W. Garwood (SOLE PROPRIETOR) |
| Authorized Official Contact | 3617798628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W Garwood, Lpc, Lcdc 5926 S Staples St Ste D9 Corpus Christi TX 78413-3843 Ph: (361) 779-8628 | John W Garwood, Lpc, Lcdc 4314 Crested Butte Dr Corpus Christi TX 78413-4417 Ph: (361) 779-8628 |
| NPI Number | 1649658188 |
|---|---|
| Provider Enumeration Date | 05/17/2015 |
| Last Update Date | 05/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649658188 | NPI | - | NPPES |
| 027124903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 11064 (Texas) | Primary |
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