| Jean Woel Latortue | |
|
506 State Tx Hwy 37 Mount Vernon TX 75457 | |
| (903) 537-8222 | |
| Not Available |
| Full Name | Jean Woel Latortue |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 506 State Tx Hwy 37, Mount Vernon, Texas |
| Authorized Official Name and Position | Jean Woel Latortue (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9037677666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Woel Latortue 506 State Tx Hwy 37 Mount Vernon TX 75457 Ph: (903) 537-8222 | Jean Woel Latortue 506 State Tx Hwy 37 Mount Vernon TX 75457 Ph: (903) 537-8222 |
| NPI Number | 1669084299 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669084299 | NPI | - | NPPES |
| 19159501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |