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Organization
ADD LIFE MENTORING OF VICTORIA
Active
Organization
ADD LIFE MENTORING OF VICTORIA
Active
Other names
Add Life Mentoring of Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISIAH JOHNSON (CEO)
(713) 571-9727
Entity
Organization
Contact information
Practice address
3308 BOBOLINK ST, VICTORIA, TX 77901-7612
(713) 571-9727
(281) 829-7236
Mailing address
3308 BOBOLINK ST, VICTORIA, TX 77901-7612
(713) 571-9727
(281) 829-7236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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