Individual
BETH NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
22710 PROFESSIONAL DRIVE, SUITE 201, KINGWOOD, TX 77339
(281) 359-1190
(281) 359-1540
Mailing address
22710 PROFESSIONAL DRIVE, SUITE 201, KINGWOOD, TX 77339
(281) 359-1190
(281) 359-1540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00S53V
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S53V
STATE LICENSE
TX
Enumeration date
08/22/2006
Last updated
07/08/2007
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