Family Changes Play Therapy, Pllc

NPI #1912256496 in Boerne, Texas

Provider Information

NPI Number: 1912256496
Entity Type: Organization
Organization Name: Family Changes Play Therapy, Pllc
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 30, 2012
Last Updated: Oct 16, 2012

Practice Location

Address: 28580 INTERSTATE 10 W
Address 2: SUITE # 4
City: Boerne
State: Texas
ZIP Code: 78006-9105
Phone: (210) 202-1999

Authorized Official

Name: MRS. PATRICIA L MCNAUGHT, LPC-S, RPT-S
Title: CEO/OWNER
Phone: (210) 202-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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