Individual
JENNA ELISABETH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S FRAZIER ST STE 104, CONROE, TX 77301-4410
(936) 730-5557
Mailing address
2495 SAWDUST RD APT 2451, SPRING, TX 77380-3387
(832) 691-8035
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
80283
TX
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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