Individual
NICOLE ENTREKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPA
Contact information
Practice address
10411 SOUTH DR, HOUSTON, TX 77099-2876
(713) 248-1489
Mailing address
10411 SOUTH DR APT 702, HOUSTON, TX 77099-2855
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34974
TX
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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