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Organization
YOUTH EXCEL PROGRAM
Active
Organization
YOUTH EXCEL PROGRAM
Active
Other names
Youth Excel Program
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA RENEE JOHNSON (ADMINISTRATOR)
(832) 439-1877
Entity
Organization
Contact information
Practice address
1111 YOUPON VALLEY CT, HOUSTON, TX 77073-5651
(832) 439-1877
Mailing address
1111 YOUPON VALLEY CT, HOUSTON, TX 77073-5651
(832) 439-1877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YOOOOOX
TX
101YM0800X
Mental Health Counselor
Primary
—
TX
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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