Search › Texas › 101YM0800X
Jesse Stakes, LPC
NPI 1720324270 · on the registry since 2013
Practice
- Address
- 209 Lang Rd
Portland, TX 78374 - Phone
- (361) 643-4130
- Fax
- (361) 643-4891
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas