Jefferson, Reginald Gerard
Jefferson, Reginald Gerard is an sole proprietor health care provider with primary practice located at 24034 Rockin Seven Dr , Hockley TX 77447-9201. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jefferson, Reginald Gerard can be contacted via phone (281) 373-0105.Contact Information
Primary practice address
24034 Rockin Seven Dr
Hockley TX 77447-9201
Phone: (281) 373-0105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 65190 | Texas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 65190 | Texas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 201412 | Texas |
Profile Details
| NPI number | 1871894535 |
|---|---|
| LBN Legal business name | Jefferson, Reginald Gerard |
| Credentials | NCC, LPC, LMFTA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 11th, 2010 |
| Last updated | Nov 11th, 2010 - about 16 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.
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