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Individual

JONATHAN REA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC ASSOCIATE

Contact information

Practice address
1408B STONEHOLLOW DR, KINGWOOD, TX 77339-2276
(713) 377-0251
Mailing address
17046 GLENEAGLE DR S, CONROE, TX 77385-4614
(713) 377-0251

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
11/08/2020
Last updated
11/08/2020
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