Individual
JASPER BRYAN GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12715 TELGE RD, CYPRESS, TX 77429-2289
(713) 466-1360
Mailing address
12715 TELGE RD, CYPRESS, TX 77429-2289
(281) 989-1053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74906
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74906
LPC
TX
Enumeration date
08/21/2019
Last updated
08/21/2019
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