Individual
JENNIFER RALPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
219 S TRAVIS ST, SHERMAN, TX 75090-7110
(903) 815-1454
Mailing address
73 MISSOURI AVE, POTTSBORO, TX 75076-3324
(903) 815-1454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12160
TX
Other
Enumeration date
11/30/2016
Last updated
08/27/2019
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