Individual provider · Type 1 NPI

Ita L. Jervis

Professional Counselor · Kingwood, TX

NPI number 1346814449 Active

Practice location

2323 Timber Shadows Dr Ste B
Kingwood, TX 77339-2028

Call (832) 233-3086 Map

Fax (832) 415-3050

Mailing address

PO Box 5857
Kingwood, TX 77325-5857

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X73488 (TX)

Professional Counselor: Definition to come...

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About NPI 1346814449

Ita L. Jervis's National Provider Identifier is 1346814449, issued on May 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingwood, TX. The record was last updated on May 14, 2021.