Individual
MRS. ANN O JARREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2624 KENSINGTON DR STE 109, TYLER, TX 75703-2734
(903) 509-9398
(866) 399-2809
Mailing address
3101 BELMEAD LN, TYLER, TX 75701-7839
(903) 509-9398
(866) 399-2809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S12893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116243003
—
TX
01
—
3927LC
BCBS
TX
Enumeration date
01/08/2007
Last updated
03/23/2023
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