Jennifer Caudle
Counselor, Professional in Granbury, TX. Individual provider (NPI-1).
NPI number1982208633
StatusActive
Last updated in NPPESNov 24, 2020
Details
- NPI
- 1982208633
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Caudle
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 24, 2020
- Certification date
- Nov 24, 2020
- Last updated
- Nov 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 80654 | TX | Yes |
Practice location
303 W Pearl StGranbury, TX 76048-2451
Phone 817-578-0189
Mailing address
900 Dart CtGranbury, TX 76049-1283
Phone 817-578-0189
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