Individual
MS. CONSTANCE ITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
407 HEIGHTS BLVD, HOUSTON, TX 77007-2519
(713) 714-6209
Mailing address
407 HEIGHTS BLVD, HOUSTON, TX 77007-2519
(713) 714-6209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
57777
TX
Other
Enumeration date
01/02/2015
Last updated
06/30/2016
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