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Individual
MISS IZERIAL TOLES
Active
Individual
MISS IZERIAL TOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
81775
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
14775
TX
101YM0800X
Mental Health Counselor
Primary
81755
TX
101YP2500X
Professional Counselor
81755
TX
106S00000X
Behavior Technician
—
NULL
Other
Enumeration date
01/10/2017
Last updated
10/27/2020
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