La Puerta

NPI #1578343190 in Waco, Texas

Provider Information

NPI Number: 1578343190
Entity Type: Organization
Organization Name: La Puerta
Primary Specialty: Counselor
Enumeration Date: Oct 2, 2023
Last Updated: Oct 2, 2023

Practice Location

Address: 500 WEBSTER AVE
City: Waco
State: Texas
ZIP Code: 76706-1163
Phone: (254) 301-4062

Authorized Official

Name: ISRAEL LOACHAMIN
Title: EXECUTIVE DIRECTOR
Phone: (817) 965-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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