Trina K Bluford Ita, LPC

NPI #1003124801 in Austin, Texas

Provider Information

NPI Number: 1003124801
Entity Type: Individual
Name: Trina K Bluford Ita, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 910 E CESAR CHAVEZ ST
City: Austin
State: Texas
ZIP Code: 78702-4206
Phone: (888) 823-9194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Professional — Professional	101YP2500X

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