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9595 Six Pines Dr Suite 8210 The Woodlands TX 77380-1531 | |
(936) 718-1145 | |
Not Available |
Full Name | |
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Speciality | Marriage & Family Therapist |
Location | 9595 Six Pines Dr, The Woodlands, Texas |
Authorized Official Name and Position | Kate Ridgley Mclellan Walker (OWNER) |
Authorized Official Contact | 9366972822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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66 S Hidden View Cir The Woodlands TX 77381-4417 Ph: (936) 718-1145 | 9595 Six Pines Dr Suite 8210 The Woodlands TX 77380-1531 Ph: (936) 718-1145 |
NPI Number | 1235384967 |
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Provider Enumeration Date | 11/21/2008 |
Last Update Date | 03/05/2009 |
Identifier | Type | State | Issuer |
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1235384967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 20174 (Texas) | Secondary |
106H00000X | Marriage & Family Therapist | 200892 (Texas) | Primary |
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