Doctor Name: | CHARLA LAYNE |
NPI Number: | 1134521073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 15532 |
Business Practice Address: | 522 S Texas Blvd Ste 116 Weslaco, TX - 785966202 |
Business Phone Number: | 9563733003 |
Business Fax Number: | |
Mailing Address: | 2204 Bald Cypress, WESLACO |
State: | TX |
Postal Code: | 785965557 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/23/2014 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 15532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |