Individual
JAMES C POURTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3141 BRIARCREST DR, STE 510, BRYAN, TX 77802-3057
(979) 774-2863
(979) 774-2863
Mailing address
2811 OAKSIDE DR, BRYAN, TX 77802-4766
(979) 739-3384
(979) 774-2863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63948
TX
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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