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Organization
SUMMITVIEW BEHAVIORAL HEALTH PLLC
Active
Organization
SUMMITVIEW BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN B KILLPACK LPC (PLLC MEMBER/MANAGER)
(956) 639-6309
Entity
Organization
Contact information
Practice address
74 TUDELA ST, BROWNSVILLE, TX 78526-1870
(956) 639-6309
Mailing address
74 TUDELA ST, BROWNSVILLE, TX 78526-1870
(956) 639-6309
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
20280
TX
101YP2500X
Professional Counselor
62062
TX
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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