Individual
IVY SOUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
627 W 19TH ST, SUITE #203, HOUSTON, TX 77008
(832) 387-5735
Mailing address
777 DUNLAVY ST APT 8209, HOUSTON, TX 77019-1957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
108686
TX
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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