| Jeremiah Counseling Services Pllc | |
|
519 Montrose Dr Rockwall TX 75087-0760 | |
| (612) 239-2893 | |
| Not Available |
| Full Name | Jeremiah Counseling Services Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 519 Montrose Dr, Rockwall, Texas |
| Authorized Official Name and Position | Bretta O Moore (SOLE OWNER/THERAPIST) |
| Authorized Official Contact | 6122392893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Counseling Services Pllc 519 Montrose Dr Rockwall TX 75087-0760 Ph: (612) 239-2893 | Jeremiah Counseling Services Pllc 519 Montrose Dr Rockwall TX 75087-0760 Ph: (612) 239-2893 |
| NPI Number | 1255068532 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255068532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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