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Organization
IMPACT 4 CHANGE
Active
Organization
IMPACT 4 CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE MUKES LPC (OWNER/CEO)
(713) 231-6801
Entity
Organization
Contact information
Practice address
13810 CHAMPION FOREST DR STE 203, HOUSTON, TX 77069-1875
(713) 231-6801
Mailing address
2718 MARSHWOOD RD, HOUSTON, TX 77038-1122
(713) 231-6801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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