Organization
JENNIFER L DORRELL MS LPC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER L DORRELL LPC (LPC/OWNER)
(409) 838-5201
Entity
Organization
Contact information
Practice address
5825 PHELAN BLVD, STE 101, BEAUMONT, TX 77706-6249
(409) 838-5201
(409) 860-5777
Mailing address
5825 PHELAN BLVD, STE 101, BEAUMONT, TX 77706-6249
(409) 838-5201
(409) 860-5777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16224
TX
101YM0800X
Mental Health Counselor
Primary
16224
TX
101YP2500X
Professional Counselor
16224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285728-01
—
TX
Enumeration date
09/30/2009
Last updated
10/12/2009
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