Condon, Laura J

Condon, Laura J is an individual health care provider with primary practice located at 1608 Avenue J , Huntsville TX 77340-5229. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Condon, Laura J can be contacted via phone (210) 326-0979.

Contact Information

Primary practice address
1608 Avenue J Huntsville TX 77340-5229
Phone: (210) 326-0979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 39617 Texas

Profile Details

NPI number 1124555156
LBN Legal business name Condon, Laura J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Jun 14th, 2024 - about 3 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124555156 NPPES
Texas MEDICAID 085422602

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