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1992342166
VA-SHELLA EASTON
SHENANDOAH, TX
NPI
1992342166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 79904)
Enumeration Date
2019-12-05
Last Update Date
2019-12-05
Business Address
VA-SHELLA EASTON LCDC, LPC-INTERN
9191 PINECROFT DR STE 250
SHENANDOAH, TX 77380-2816
Phone number: 281-520-1907
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Mailing Address
VA-SHELLA EASTON LCDC, LPC-INTERN
1835 WOODLAND FIELD XING APT 321
THE WOODLANDS, TX 77380-3855
Phone number: 281-630-5869
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