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Madonna Land, LPC
Mental Health Counselor in League City, Texas
NPI 1255971735

Madonna Land is a Mental Health Counselor based in League City, TX and is specialized in Mental Health. Madonna Land practices in League City, TX and has the professional credentials of LPC. The NPI Number for Madonna Land is 1255971735 and holds a License No. 79806 (Texas).

The current practice location address for Madonna Land is 2205 W Walker St Apt 1209, League City, TX and can be reached out via phone at 281-222-7115.

Location: 2205 W Walker St Apt 1209, League City, TX, 77573-6888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255971735
Provider Name
Madonna Land
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2205 W Walker St Apt 1209, League City, TX, 77573-6888
Phone Number
281-222-7115
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2205 W Walker St Apt 1209
City
League City
State
Texas
Zip
77573-6888
Phone Number
281-222-7115
Fax Number
person
Provider Business Mailing Address Details
Address
2205 W Walker St Apt 1209
City
League City
State
Texas
Zip
77573-6888
Phone Number
281-222-7115
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
79806 (Texas)
Definition
Definition to come...
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