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Organization
MEMORIAL HERMANN COUNSELING CENTER
Active
Organization
MEMORIAL HERMANN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVA B PROFOTA L.C.S.W. (CLINICAL MANAGER)
(713) 868-2908
Entity
Organization
Contact information
Practice address
2000 NORTH LOOP WEST, SUITE 200, HOUSTON, TX 77018
(713) 868-2908
(713) 864-2395
Mailing address
2000 NORTH LOOP WEST, SUITE 200, HOUSTON, TX 77018
(713) 868-2908
(713) 864-2395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1722852
—
TX
Enumeration date
04/17/2006
Last updated
08/08/2008
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