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Samuel Joseph Gaspard
Professional Counselor in Montgomery, Texas
NPI 1114799913

Samuel Joseph Gaspard is a Professional Counselor based in Austin, TX and is specialized in Professional. Samuel Joseph Gaspard practices in Montgomery, TX. The NPI Number for Samuel Joseph Gaspard is 1114799913 and holds a License No. 85106 (Texas).

The current practice location address for Samuel Joseph Gaspard is 14855 Liberty St, Montgomery, TX and can be reached out via phone at 936-483-2407.

Location: 14855 Liberty St, Montgomery, TX, 78731-4257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114799913
Provider Name
Samuel Joseph Gaspard
Credential
Provider Entity Type
Individual
Gender
Male
Address
14855 Liberty St, Montgomery, TX, 78731-4257
Phone Number
936-483-2407
Fax Number
Provider Enumeration Date
10/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14855 Liberty St
City
Montgomery
State
Texas
Zip
77356-4631
Phone Number
936-483-2407
Fax Number
person
Provider Business Mailing Address Details
Address
14855 Liberty St
City
Montgomery
State
Texas
Zip
77356-4631
Phone Number
936-483-2407
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
85106 (Texas)
Definition
Definition to come...
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