Individual
AMY LYNN VAN CISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1905 CAPRI LN, SEABROOK, TX 77586-2801
(832) 632-1221
Mailing address
103 DAVIS RD STE B, LEAGUE CITY, TX 77573-2769
(832) 632-1221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
83589
TX
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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