Blue Heron Counseling LLC

NPI #1790491868 in Ingram, Texas

Provider Information

NPI Number: 1790491868
Entity Type: Organization
Organization Name: Blue Heron Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 23, 2023
Last Updated: May 24, 2024

Practice Location

Address: 113 SCENIC RIDGE RD
City: Ingram
State: Texas
ZIP Code: 78025-5549
Phone: (830) 715-5483

Authorized Official

Name: ROBYN SYBIL ADKINS
Title: AUTHORIZED OFFICIAL
Phone: (512) 970-0176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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