Individual
MRS. JAN LANELLE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
903 NORTH ST, NACOGDOCHES, TX 75961-4479
(936) 564-4064
(936) 564-1570
Mailing address
903 NORTH ST, NACOGDOCHES, TX 75961-4479
(936) 564-4064
(936) 564-1570
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80706L
BC/BS
TX
Enumeration date
08/05/2006
Last updated
07/08/2007
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