Individual
COLEEN D CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 CRAWFORD ST STE 208, HOUSTON, TX 77002-8941
(832) 724-5584
Mailing address
2101 CRAWFORD ST STE 208, HOUSTON, TX 77002-8941
(832) 724-5584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3612756
—
TX
Enumeration date
03/13/2019
Last updated
03/13/2019
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