Individual
CLAIRE ELIZABETH WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-A
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(832) 721-5347
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
(832) 721-5347
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
86896
TX
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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