Individual
ELIJAH EVIN WARREN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
16140 KUYKENDAHL RD, SUITE 106, HOUSTON, TX 77068-3338
(713) 636-2964
(713) 636-9686
Mailing address
PO BOX 3342, SPRING, TX 77383-3342
(832) 690-0354
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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