Individual
JEAN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1504 S TEXAS AVE, BRYAN, TX 77802-1015
(979) 822-6467
(979) 821-9448
Mailing address
1504 TEXAS AVE., P.O. BOX 4588, BRYAN, TX 77805-4588
(979) 822-6467
(979) 821-9448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10965
TX
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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