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Organization
THE WELL HOUSE GROUP, PLLC
Active
Organization
THE WELL HOUSE GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KRUSE (MANAGER)
(817) 371-0863
Entity
Organization
Contact information
Practice address
2140 E SOUTHLAKE BLVD, SUITE L, 687, SOUTHLAKE, TX 76092-6516
(817) 371-0863
Mailing address
2140 E SOUTHLAKE BLVD, SUITE L, 687, SOUTHLAKE, TX 76092-6516
(817) 371-0863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67477
TX
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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