Raquepaw, Jayne M

Raquepaw, Jayne M is an individual health care provider with primary practice located at 3400 Bissonnet St Ste 280, Houston TX 77005-2192. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Raquepaw, Jayne M can be contacted via phone (713) 909-4841.

Contact Information

Primary practice address
3400 Bissonnet St Ste 280 Houston TX 77005-2192
Phone: (713) 909-4841
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Exercise & Sports 103TE1100X 24154 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 24154 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 24154 Texas

Profile Details

NPI number 1306068051
LBN Legal business name Raquepaw, Jayne M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Aug 27th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306068051 NPPES
Texas MEDICAID 099272902

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