Psychological Concepts | |
1501 E Red River St Suite A-1 Victoria TX 77901-5522 | |
(361) 578-2800 | |
(361) 578-2804 |
Full Name | Psychological Concepts |
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Speciality | Counselor - Professional |
Location | 1501 E Red River St, Victoria, Texas |
Authorized Official Name and Position | Johnnie C. La Quay (OWNER) |
Authorized Official Contact | 3615782800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychological Concepts 1501 E Red River St. Suite A-1 Victoria TX 77901-5522 Ph: (361) 578-2800 | Psychological Concepts 1501 E Red River St Suite A-1 Victoria TX 77901-5522 Ph: (361) 578-2800 |
NPI Number | 1093938144 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093938144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 18848 (Texas) | Primary |
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