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Organization
OVERLOOKED BEHAVIROL PROGRAM
Active
Organization
OVERLOOKED BEHAVIROL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE HARRIS (ADMINISTRATOR)
(832) 499-4235
Entity
Organization
Contact information
Practice address
19411 CACTUS ROSE, KATY, TX 77449
(832) 499-4235
(281) 829-5566
Mailing address
19411 CACTUS ROSE, KATY, TX 77449
(832) 499-4235
(281) 829-5566
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
TX
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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