Provider Information for 1639201205
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Ms. REBECCA KATHLEEN JARRELL M.A. LPC
Sex: Female
NPI: 1639201205
Last Updated: 2012-05-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1639201205 | ||||||||
| Enumeration Date | 2007-03-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 12314 ENGLISH BROOK CIR HUMBLE, TX 77346-3271 United States Phone: 832-202-4407 | Fax:281-570-2088 | ||||||||
| Primary Practice Address | 12314 ENGLISH BROOK CIR HUMBLE, TX 77346-3271 United States Phone: 832-202-4407 | Fax:281-570-2088 | ||||||||
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