Individual
MS. JESSICA DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT, LCDC
Contact information
Practice address
1614 CARDINAL LN, COLLEGE STATION, TX 77845-8175
(979) 703-5502
Mailing address
1614 CARDINAL LN, COLLEGE STATION, TX 77845-8175
(979) 220-3454
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
11988
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
6467
TX
106H00000X
Marriage & Family Therapist
3691
TX
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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