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Organization
PREMIERE COUNSELING AND RECOVERY SERVICES
Active
Organization
PREMIERE COUNSELING AND RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT CORNELIUS MARTIN LCDC (DIRECTOR)
(214) 274-6455
Entity
Organization
Contact information
Practice address
1341 W MOCKINGBIRD LN, SUITE 600, WEST TOWER, DALLAS, TX 75247-6913
(214) 274-6455
Mailing address
PO BOX 190841, DALLAS, TX 75219-0841
(214) 274-6455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12476
TX
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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