JERRY J. MUNGADZE

BEDFORD, TX
NPI1356490080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: TX  10315)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
JERRY J. MUNGADZE PHD., LPC
2040 BEDFORD RD STE 200
BEDFORD, TX 76021-5871
Phone number: 817-354-1389
Mailing Address
JERRY J. MUNGADZE PHD., LPC
2040 BEDFORD RD STE 200
BEDFORD, TX 76021-5871
Phone number: 817-354-1389