Organization
CGLUZ KIDZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA EARL (PROFESSIONAL COUNSELOR)
(877) 754-7010
Entity
Organization
Contact information
Practice address
14150 WUNDERLICH DR, 1405, HOUSTON, TX 77069-3563
(877) 754-7010
(866) 486-3295
Mailing address
14150 WUNDERLICH DR, 1405, HOUSTON, TX 77069-3563
(877) 754-7010
(866) 486-3295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
TX19312
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CAQH
—
TX
Enumeration date
09/16/2010
Last updated
09/16/2010
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