person
Mr. Jesse Stakes, LPC
Mental Health Counselor in Portland, Texas
NPI 1720324270

Jesse Stakes is a Mental Health Counselor based in Portland, TX and is specialized in Mental Health. Jesse Stakes practices in Portland, TX and has the professional credentials of LPC. The NPI Number for Jesse Stakes is 1720324270 and holds a License No. 13379 (Texas).

The current practice location address for Jesse Stakes is 209 Lang Rd, Portland, TX and can be reached out via phone at 361-643-4130 and via fax at 361-643-4891.

Location: 209 Lang Rd, Portland, TX, 78374-2629
person
Provider Profile Details
NPI Number
1720324270
Provider Name
Jesse Stakes
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
209 Lang Rd, Portland, TX, 78374-2629
Phone Number
361-643-4130
Fax Number
361-643-4891
Provider Enumeration Date
01/02/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
209 Lang Rd
City
State
Zip
78374-2629
Phone Number
361-643-4130
Fax Number
361-643-4891
person
Provider Business Mailing Address Details
Address
209 Lang Rd
City
State
Zip
78374-2629
Phone Number
361-643-4130
Fax Number
361-643-4891
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
13379 (Texas)
Definition
Definition to come...
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