Organization
INNER SPARK THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA LEIGH DOLAN LCSW (OWNER, THERAPIST)
(936) 261-7908
Entity
Organization
Contact information
Practice address
506 HONEA EGYPT RD # 303, MAGNOLIA, TX 77354-2568
(936) 261-7908
Mailing address
506 HONEA EGYPT RD # 303, MAGNOLIA, TX 77354-2568
(936) 261-7908
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
05/26/2024
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