Organization
JENNIFER STATEN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER N STATEN LCSW (OWNER/OPERATOR)
(903) 577-6263
Entity
Organization
Contact information
Practice address
2121 MAIN ST, SULPHUR SPRINGS, TX 75482-3616
(903) 885-2776
Mailing address
PO BOX 146, SULPHUR SPRINGS, TX 75483-0146
(903) 885-2776
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
03/11/2023
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