| NPI | 1477887941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L DORRELL Lpc/Owner 409-838-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16224) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16224) |
| 101YP2500X Counselor, Professional (Licence: TX 16224) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-10-12 |