Sq Therapy Pllc | |
609 W 18th St Austin TX 78701-1142 | |
(512) 730-1788 | |
Not Available |
Full Name | Sq Therapy Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 609 W 18th St, Austin, Texas |
Authorized Official Name and Position | Yamel Sandoval Quijano (SOLE MEMBER) |
Authorized Official Contact | 5127301788 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sq Therapy Pllc 609 W 18th St Austin TX 78701-1142 Ph: () - | Sq Therapy Pllc 609 W 18th St Austin TX 78701-1142 Ph: (512) 730-1788 |
NPI Number | 1851863690 |
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Provider Enumeration Date | 12/18/2018 |
Last Update Date | 12/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851863690 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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