Doctor Name: | MRS. CAROL RENEE FLORES-WHORTON |
NPI Number: | 1346346699 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 14104 |
Business Practice Address: | 19315 Fm 2252 Suite #156 Garden Ridge, TX - 78266 |
Business Phone Number: | 2107245077 |
Business Fax Number: | 2106516424 |
Mailing Address: | 9648 Kurre Way, GARDEN RIDGE |
State: | TX |
Postal Code: | 78266 |
Phone Number: | 2107245077 |
Fax Number: | 2106516424 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 14104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |