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1437930930
JERUSHAH NICKELL MOLINA VERGARA
AUSTIN, TX
NPI
1437930930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 91424)
Enumeration Date
2023-10-10
Last Update Date
2023-10-10
Business Address
JERUSHAH NICKELL MOLINA VERGARA LPC-A
7000 N MOPAC EXPY STE 200
AUSTIN, TX 78731-3013
Phone number: 737-275-0030
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Mailing Address
JERUSHAH NICKELL MOLINA VERGARA LPC-A
3463 LAKE AUSTIN BLVD APT C
AUSTIN, TX 78703-5551
Phone number: 859-771-6232
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