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Sandra Ann Clevenger
Professional Counselor in Lake Jackson, Texas
NPI 1255599049

Sandra Ann Clevenger is a Professional Counselor based in Lake Jackson, TX and is specialized in Professional. Sandra Ann Clevenger practices in Lake Jackson, TX. The NPI Number for Sandra Ann Clevenger is 1255599049 and holds a License No. 14890 (Texas).

The current practice location address for Sandra Ann Clevenger is 115 N Dixie Dr, Lake Jackson, TX and can be reached out via phone at 979-292-0726.

Location: 115 N Dixie Dr, Lake Jackson, TX, 77566-3188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255599049
Provider Name
Sandra Ann Clevenger
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 N Dixie Dr, Lake Jackson, TX, 77566-3188
Phone Number
979-292-0726
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 N Dixie Dr
City
Lake Jackson
State
Texas
Zip
77566-5903
Phone Number
979-292-0726
Fax Number
person
Provider Business Mailing Address Details
Address
115 N Dixie Dr
City
Lake Jackson
State
Texas
Zip
77566-5903
Phone Number
979-292-0726
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
14890 (Texas)
Definition
Definition to come...
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