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TOM W CAPO MA, LPC, LMFT, LCDC

Addiction Substance Use Disorder

Houston, Texas

Provider NPI: 1912901349

Provider Information:
 TOM W CAPO MA, LPC, LMFT, LCDC
Gender: M


Practice Location:
18333 EGRET BAY BLVD STE 305 HOUSTON, TX 77058 US
Tel: 281-333-5740  Fax: 281-333-4013

Business Mailing Address:
18333 EGRET BAY BLVD STE 305 HOUSTON, TX 77058 US
Tel: 281-333-5740  Fax: 281-333-4013

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
TX2008
X101YM0800XBehavioral Health & Social Service Providers
Counselor
TX09975
X106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
TX001751-041825

Other Provider Identifiers:

IssuerNumberStateType
95460401TX05
LPC LICENSELC 09975TX01
LCDC LICENSELCDC 2008TX01
LMFT LICENSELMFT 001751-041825TX01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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