Individual
JOAN M ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7510 FM 1765, TEXAS CITY, TX 77590
(409) 935-6083
Mailing address
4352 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2628
(409) 736-2373
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
04497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28996901
—
TX
01
—
84052L
BLUE CROSS BLUE SHEILD
TX
Enumeration date
02/02/2007
Last updated
07/09/2007
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