Iconic Journey

NPI 1174937387 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1174937387
Enumeration Date 06/16/2014
Last Updated 06/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAWNICA DAWNICA
Position CLINICAL SOCIAL WORKER
Phone (254) 498-3929
Fax
Practice Location
3428 BENFIELD DR
HOUSTON TX, 77082-3607, US
Phone (254) 498-3929
Fax
Business Location
3428 BENFIELD DR
HOUSTON TX, 77082-3607, US
Phone (254) 498-3929
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Iconic Journey NPI is 1174937387, taxonomy code is 251S00000X Iconic Journey physically located at 3428 Benfield Dr, Houston TX, 77082-3607. NPI Number 1033115704 has the healthcare provider type.

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1174937387 NPI number is provided on an as is basis without warranty of any kind. 1174937387 is maintained by the National Plan & Provider Enumeration System. The contents of Iconic Journey are for informational purposes only.