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Organization
WELLNESS MAGNIFICENCE PSYCHOTHERAPY & CONSULTING, LLC
Active
Organization
WELLNESS MAGNIFICENCE PSYCHOTHERAPY & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERVIL DURAND LCSW, LCDC (OWNER)
(832) 590-9779
Entity
Organization
Contact information
Practice address
5850 SAN FELIPE ST STE 500, HOUSTON, TX 77057-8003
(832) 590-9779
Mailing address
PO BOX 3042, PEARLAND, TX 77588-3042
(832) 590-9779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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