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Organization
SODA VENTURES LLC. D.B.A. 92 REASONS
Active
Organization
SODA VENTURES LLC. D.B.A. 92 REASONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA CANNON CRC, LPC (DIRECTOR OF CLINICAL SERVICES)
(469) 986-9629
Entity
Organization
Contact information
Practice address
1332 TEASLEY LN STE 103A, DENTON, TX 76205-7946
(469) 986-9629
(469) 453-3193
Mailing address
1332 TEASLEY LN STE 103A, DENTON, TX 76205-7946
(469) 986-9629
(469) 453-3193
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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