Individual
CHRISTIE JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S : RN-BC
Contact information
Practice address
13313 SOUTHWEST FWY STE 263, SUGAR LAND, TX 77478-4530
(713) 446-7699
Mailing address
108 RAINBOW DR # 819, LIVINGSTON, TX 77399-1008
(713) 446-7699
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61336
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
522023
TX
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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