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Organization
MONTGOMERY WELLNESS PLLC
Active
Organization
MONTGOMERY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK CHARLES COMEAUX JR. (MANAGING DIRECTOR)
(936) 333-7020
Entity
Organization
Contact information
Practice address
16955 WALDEN RD STE 109, MONTGOMERY, TX 77356-3228
(936) 333-7020
(833) 876-8886
Mailing address
16955 WALDEN RD STE 109, MONTGOMERY, TX 77356-3228
(936) 333-7020
(833) 876-8886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
10/23/2019
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