Individual
MS. JEAN ELICK MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR
Contact information
Practice address
3500 W. DAVIS STREET, SUITE 250, CONROE, TX 77304
(832) 401-9701
(832) 565-1010
Mailing address
3500 W. DAVIS STREET, SUITE 250, CONROE, TX 77304
(832) 401-9701
(832) 565-1010
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14157
TX
221700000X
Art Therapist
97-040
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1810749-01
—
TX
Enumeration date
01/30/2007
Last updated
07/24/2019
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