Individual
QUEAMANI MICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
2025 GLASSHOUSE ST, BEAUMONT, TX 77703-4226
(409) 223-7616
Mailing address
2025 GLASSHOUSE ST, BEAUMONT, TX 77703-4226
(409) 223-7616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37579
TX
Other
Enumeration date
01/18/2017
Last updated
09/12/2025
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