Individual
JACK GREESON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5606 N NAVARRO, STE 209, VICTORIA, TX 77904
(361) 578-9190
(361) 578-9206
Mailing address
PO BOX 4953, VICTORIA, TX 77903
(361) 578-9190
(361) 578-9206
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
22550
TX
103T00000X
Psychologist
Primary
6484
TX
Other
Enumeration date
04/25/2006
Last updated
07/08/2007
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