Individual
JESSICA MARIE SAN MIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-ASSOCIATE
Contact information
Practice address
3517 IVY AVE, MCALLEN, TX 78501-6635
(956) 833-1765
Mailing address
3517 IVY AVE, MCALLEN, TX 78501-6635
(956) 833-1765
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
96507
TX
Other
Enumeration date
05/21/2021
Last updated
11/14/2024
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