Organization
JIREH CHRISTIAN CENTER
Active
Organization
JIREH CHRISTIAN CENTER
Active
Other names
Jireh Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
VERDALE GOINS PHD, LPC (DIRECTOR)
(346) 874-7105
Entity
Organization
Contact information
Practice address
10701 CORPORATE DR STE 209, STAFFORD, TX 77477-4050
(346) 874-7105
(346) 874-7105
Mailing address
10701 CORPORATE DR STE 209, STAFFORD, TX 77477-4050
(346) 874-7105
(346) 874-7106
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374557201
—
TX
Enumeration date
11/09/2018
Last updated
11/09/2018
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