Individual
JACQUELINE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA., LPC
Contact information
Practice address
2323 TIMBER SHADOWS DR, SUITE B, KINGWOOD, TX 77339-2028
(832) 233-3086
Mailing address
2323 TIMBER SHADOWS DR, SUITE B, KINGWOOD, TX 77339-2028
(832) 233-3086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
72081
TX
101YM0800X
Mental Health Counselor
Primary
72081
TX
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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