| Jennifer L Dorrell Ms Lpc Inc | |
|
5825 Phelan Blvd Ste 101 Beaumont TX 77706-6249 | |
| (409) 838-5201 | |
| (409) 860-5777 |
| Full Name | Jennifer L Dorrell Ms Lpc Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5825 Phelan Blvd, Beaumont, Texas |
| Authorized Official Name and Position | Jennifer L Dorrell (LPC/OWNER) |
| Authorized Official Contact | 4098385201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Dorrell Ms Lpc Inc 5825 Phelan Blvd Ste 101 Beaumont TX 77706-6249 Ph: (409) 838-5201 | Jennifer L Dorrell Ms Lpc Inc 5825 Phelan Blvd Ste 101 Beaumont TX 77706-6249 Ph: (409) 838-5201 |
| NPI Number | 1477887941 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 10/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477887941 | NPI | - | NPPES |
| 0285728-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 16224 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 16224 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 16224 (Texas) | Secondary |
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