Jerome Lavis LPC, LCDC

NPI 1356464267 - Counselor - 101YA0400X

NPI Details
NPI 1356464267
Gender Male
Enumeration Date 04/06/2007
Last Updated 03/04/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
8730 BOEING DR
EL PASO TX, 79925-1074, US
Phone (915) 772-4446
Fax
Business Location
5816 SIXTA DR
EL PASO TX, 79932-2361, US
Phone (915) 760-6059
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Texas
License Number 2630
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According to our database, Mr. Jerome Lavis LPC, LCDC NPI is 1356464267, taxonomy code is 101YA0400X and license number is 2630, license state is located at Texas. Jerome Lavis LPC, LCDC physically located at 8730 Boeing Dr, El Paso TX, 79925-1074. NPI Number Jerome Lavis LPC, LCDC has the Individual type.

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1356464267 NPI number is provided on an as is basis without warranty of any kind. 1356464267 is maintained by the National Plan & Provider Enumeration System. The contents of Jerome Lavis LPC, LCDC are for informational purposes only.