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1821823394
JENELLE ALISE MOUTON
MISSOURI CITY, TX
NPI
1821823394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 17066)
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
JENELLE ALISE MOUTON
2630 SUMMER LN
MISSOURI CITY, TX 77489-1178
Phone number: 832-724-5750
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Mailing Address
JENELLE ALISE MOUTON
2630 SUMMER LN
MISSOURI CITY, TX 77489-1178
Phone number: 832-724-5750
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