Individual
CHISOM IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9119 S GESSNER RD STE 201, HOUSTON, TX 77074-2845
(713) 771-1550
(713) 771-5968
Mailing address
9119 S GESSNER RD STE 201, HOUSTON, TX 77074-2845
(713) 771-1550
(713) 771-5968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
Other
Enumeration date
06/20/2007
Last updated
07/29/2024
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