Individual
FORTUNE AISABOKHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18414 STABLEWOOD MANOR TRL, RICHMOND, TX 77407-2324
(832) 545-7352
Mailing address
17117 WESTHEIMER RD # 6, HOUSTON, TX 77082-1259
(832) 545-7352
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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