JENELLE ALISE MOUTON

MISSOURI CITY, TX
NPI1821823394
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  17066)
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
JENELLE ALISE MOUTON
2630 SUMMER LN
MISSOURI CITY, TX 77489-1178
Phone number: 832-724-5750
Mailing Address
JENELLE ALISE MOUTON
2630 SUMMER LN
MISSOURI CITY, TX 77489-1178
Phone number: 832-724-5750