Individual
MS. TICILY MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMFT-S
Contact information
Practice address
3811 AMBER ROSE LN, HOUSTON, TX 77039-3349
(972) 454-9304
Mailing address
9659 N SAM HOUSTON PKWY E STE 150 # 113, HUMBLE, TX 77396
(972) 454-9304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
65893
TX
106H00000X
Marriage & Family Therapist
0002496
CO
106H00000X
Marriage & Family Therapist
Primary
201021
TX
Other
Enumeration date
08/15/2013
Last updated
03/15/2024
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