Organization
CENTER FOR PAIN REHABILITATION, PA
Active
Parent organization
ICH HEALTHCARE, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ICH HEALTHCARE, PA
Authorized official
MRS. CAREY JACKSON LPC (EXECUTIVE)
(713) 771-2225
Entity
Organization
Contact information
Practice address
8200 WEDNESBURY LN STE 210, HOUSTON, TX 77074-2931
(713) 771-2225
(713) 771-1876
Mailing address
8200 WEDNESBURY LN STE 210, HOUSTON, TX 77074-2931
(713) 771-2225
(713) 771-1876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
62953
TX
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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