Cea, Jorge
Cea, Jorge is an sole proprietor health care provider with primary practice located at 605 S Conroe Medical Dr , Conroe TX 77304-4722. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cea, Jorge can be contacted via phone (936) 539-4004.Contact Information
Primary practice address
605 S Conroe Medical Dr
Conroe TX 77304-4722
Phone: (936) 539-4004
Fax: (936) 539-3635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 69287 | Texas |
Profile Details
| NPI number | 1073904652 |
|---|---|
| LBN Legal business name | Cea, Jorge |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2015 |
| Last updated | May 13th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073904652 | NPPES |
| Texas | MEDICAID | 3451577-01 |
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