PATRICE L JERNEGONS

LONGVIEW, TX
NPI1114526274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  9010)
Enumeration Date2020-10-20
Last Update Date2020-10-20
Business Address
PATRICE L JERNEGONS LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
Mailing Address
PATRICE L JERNEGONS LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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