Mota, Carmen

Mota, Carmen is an individual health care provider with primary practice located at 1504 S Texas Ave , Bryan TX 77802-1015. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mota, Carmen can be contacted via phone (979) 822-6467.

Contact Information

Primary practice address
1504 S Texas Ave Bryan TX 77802-1015
Phone: (979) 822-6467
Fax: (979) 821-9448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 65959 Texas

Profile Details

NPI number 1215200548
LBN Legal business name Mota, Carmen
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2012
Last updated Feb 16th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215200548 NPPES
Texas Other 65959 STATE LICENSE

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