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Individual

ASIA MCCLENON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS,MA

Contact information

Practice address
6201 BONHOMME RD, HOUSTON, TX 77036-4365
(832) 862-7997
Mailing address
3211 BRECKINRIDGE CT, MISSOURI CITY, TX 77459-4907
(832) 410-5927

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
251B00000X
Case Management Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01213811106023777147
DRIVERS LICENSE
TX
Enumeration date
03/05/2019
Last updated
05/08/2023
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