Individual
MR. JOSE DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C. , L.M.F.T.
Contact information
Practice address
407 HEIGHTS BLVD, HOUSTON, TX 77007-2519
(832) 549-4054
Mailing address
407 HEIGHTS BLVD, HOUSTON, TX 77007-2519
(832) 549-4054
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
66305
TX
106H00000X
Marriage & Family Therapist
Primary
201443
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710242250
—
TX
Enumeration date
07/11/2012
Last updated
11/04/2020
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