Individual
JACOB LARIVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
14619 BLACKBRUSH MNR, MAGNOLIA, TX 77354-7108
(936) 666-2063
Mailing address
14619 BLACKBRUSH MNR, MAGNOLIA, TX 77354-7108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
98753
TX
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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