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Individual

JESSICA HOPE RIDENOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4242 MEDICAL DR STE 6150, SAN ANTONIO, TX 78229-5369
(817) 320-2873
Mailing address
17350 STATE HWY 249 STE 220 #28883, HOUSTON, TX 77064
(817) 320-2873

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
113097
TX

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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