Organization
DESIDERATA PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA MENA FUNKE LCSW (OWNER)
(281) 203-1843
Entity
Organization
Contact information
Practice address
17719 BAMWOOD DR, HOUSTON, TX 77090-1852
(281) 203-1842
(832) 616-3460
Mailing address
17719 BAMWOOD DR, HOUSTON, TX 77090-1852
(281) 203-1842
(832) 616-3460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32342
TX
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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