| Doctor Name: | TONY VIA |
| NPI Number: | 1144655705 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCI |
| License Number: | 70989 |
| Business Practice Address: | 215 N Avenue J Anson, TX - 795012114 |
| Business Phone Number: | 3258233209 |
| Business Fax Number: | 3258233098 |
| Mailing Address: | 101 Avenue J, ANSON |
| State: | TX |
| Postal Code: | 795012113 |
| Phone Number: | 3258233209 |
| Fax Number: | 3258233098 |
| NPI Enumeration Date: | 09/13/2013 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 70989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |