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Individual

MRS. JACQUELINE GRANT PERIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-INTERN

Contact information

Practice address
900 LOVETT BLVD, HOUSTON, TX 77006-3908
(713) 470-9878
Mailing address
900 LOVETT BLVD, HOUSTON, TX 77006-3908
(713) 470-9878

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
83072
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83072
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
03/04/2020
Last updated
03/04/2020
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