person
Ita L Jervis
Professional Counselor in Kingwood, Texas
NPI 1346814449

Ita L Jervis is a Professional Counselor based in Kingwood, TX and is specialized in Professional. Ita L Jervis practices in Kingwood, TX. The NPI Number for Ita L Jervis is 1346814449 and holds a License No. 73488 (Texas).

The current practice location address for Ita L Jervis is 2323 Timber Shadows Dr Ste B, Kingwood, TX and can be reached out via phone at 832-233-3086 and via fax at 832-415-3050.

Location: 2323 Timber Shadows Dr Ste B, Kingwood, TX, 77325-5857
person
Provider Profile Details
NPI Number
1346814449
Provider Name
Ita L Jervis
Credential
Provider Entity Type
Individual
Gender
Female
Address
2323 Timber Shadows Dr Ste B, Kingwood, TX, 77325-5857
Phone Number
832-233-3086
Fax Number
832-415-3050
Provider Enumeration Date
05/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73488 01 TX LPC
institution
Provider Business Practice Location Address Details
Address
2323 Timber Shadows Dr Ste B
City
State
Zip
77339-2028
Phone Number
832-233-3086
Fax Number
832-415-3050
person
Provider Business Mailing Address Details
Address
2323 Timber Shadows Dr Ste B
City
State
Zip
77339-2028
Phone Number
832-233-3086
Fax Number
832-415-3050
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
73488 (Texas)
Definition
Definition to come...
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