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Organization
INTENTIONAL MENTAL HEALTH & WELLNESS PLLC
Active
Organization
INTENTIONAL MENTAL HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN BONNER LPC (AUTHORIZED OFFICIAL)
(936) 657-8023
Entity
Organization
Contact information
Practice address
9626 STATE HIGHWAY 7 E, JOAQUIN, TX 75954-3986
(936) 657-8023
Mailing address
415 COUNTY ROAD 3794, JOAQUIN, TX 75954-2401
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/21/2023
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