| Doctor Name: | MR. DAVID GROWCOCK |
| NPI Number: | 1568864312 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, NCC |
| License Number: | 69671 |
| Business Practice Address: | 101 Peaceful Ln Converse, TX - 781091007 |
| Business Phone Number: | 2102489077 |
| Business Fax Number: | |
| Mailing Address: | 7911 Arabian Cv, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782443526 |
| Phone Number: | 2104399567 |
| Fax Number: | |
| NPI Enumeration Date: | 09/24/2014 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 69671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |