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Individual provider · Addiction (Substance Use Disorder) Counselor · Richardson, TX

NPI

1003246802

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

10119 (TX)

Sex

Female

Sole proprietor

Yes

Enumerated

2013-11-15

Last updated

2013-11-15