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Individual

AMY WINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LPC

Contact information

Practice address
13607 MONTEIGNE LN, CYPRESS, TX 77429-4851
(832) 421-8714
Mailing address
17920 HUFFMEISTER RD STE 150, CYPRESS, TX 77429-6445
(832) 421-8714

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
72855
TX
106H00000X
Marriage & Family Therapist
Primary
202334
TX

Other

Enumeration date
03/16/2015
Last updated
04/25/2017
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