Individual
MR. JESSE DAVID POOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3611 SONCY, SUITE 4A, AMARILLO, TX 79119
(806) 584-5400
(806) 359-0610
Mailing address
5133 ROYCE DR, AMARILLO, TX 79110-3010
(806) 584-5400
(806) 359-0610
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17282
TX
101YM0800X
Mental Health Counselor
17282
TX
101YP2500X
Professional Counselor
17282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493348-01
—
TX
Enumeration date
07/20/2006
Last updated
08/12/2014
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