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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