Blue Water Therapists, Pllc

NPI #1093546152 in Canyon Lake, Texas

Provider Information

NPI Number
1093546152
Entity Type
Organization
Organization Name
Blue Water Therapists, Pllc
Primary Specialty
Social Worker - Clinical
Enumeration Date
Aug 12, 2024
Last Updated
Aug 12, 2024

Practice Location

Address
1010 BLUE WATER DR
State
Texas
ZIP Code
78133-5584
Phone
(830) 730-2705

Authorized Official

Name
JILL MARIE INGERSOLL, LCSW
Title
MANAGING MEMBER
Phone
(830) 730-2705

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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