Individual
KELLY BIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
4203 MONTROSE BLVD STE 480, HOUSTON, TX 77006-5474
(713) 331-5538
Mailing address
1215 W 31ST ST, HOUSTON, TX 77018-7407
(713) 822-0385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
86400
TX
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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