Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 81070 | TX |
NPI | 1003405804 |
---|---|
Provider Name | Jessica Ann Morgan |
First Address | Rosenberg, TX 77471-2641 |
Second Address | Rosenberg, TX 77471-2641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2021 |
Last Update Date | 15/01/2021 |