| NPI | 1366034613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MARIE MANNING Licensed Professional Counselor 979-217-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |