Individual
JERUSALEM DESION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113 CAMINO CRESTA PL, HORIZON CITY, TX 79928-7496
(915) 256-2102
Mailing address
113 CAMINO CRESTA PL, HORIZON CITY, TX 79928-7496
(915) 256-2102
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16549
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148178001
—
TX
Enumeration date
04/16/2019
Last updated
04/16/2019
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