Individual
ELIZABETH FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
411 PARK GROVE DR STE 720, KATY, TX 77450-1577
(346) 482-7730
Mailing address
3027 FRESCO WELLS DR, KATY, TX 77449-4617
(281) 221-2076
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
83139
TX
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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