Individual
JENNIFER DOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1600 PAYTON GIN RD, AUSTIN, TX 78758-6506
(512) 836-2150
(512) 836-2159
Mailing address
1600 PAYTON GIN RD, AUSTIN, TX 78758-6506
(512) 836-2150
(512) 836-2159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65185
TX
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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