Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 61367 | TX |
N | 101YM0800X | Mental Health Counselor | 61367 | TX |
N | 101YP2500X | Professional Counselor | 61367 | TX |
NPI | 1992988489 |
---|---|
Provider Name | Rafael Alberto Parra |
First Address | San Antonio, TX 78212-5666 |
Second Address | San Antonio, TX 78212-5666 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2007 |
Last Update Date | 06/07/2010 |