Individual
LARISSA NICHOLE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E TRAVIS ST STE 208, MARSHALL, TX 75670-4281
(832) 562-8255
Mailing address
505 E TRAVIS ST STE 208, MARSHALL, TX 75670-4281
(832) 562-8255
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TX
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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