| NPI | 1073933016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON P. DAVIS Licensed Professional Counselor 936-697-2822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68030) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |