Individual
GLORIA PULICKAL SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-ASSOCIATE
Contact information
Practice address
16903 RED OAK DR STE 274, HOUSTON, TX 77090-3941
(346) 298-9501
Mailing address
13110 YAUPON HOLLY LN, HOUSTON, TX 77044-4936
(281) 714-8737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203211
TX
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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