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Organization
TEXAS YOUTH ADDICTION COUNSELING SERVICES, LLC
Active
Organization
TEXAS YOUTH ADDICTION COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON HALLSTROM MS, LCDC (EXECUTIVE DIRECTOR)
(832) 208-6966
Entity
Organization
Contact information
Practice address
16903 RED OAK DR STE 210, HOUSTON, TX 77090-3916
(832) 208-6966
(480) 984-8898
Mailing address
505 WELLS FARGO DR APT 913, HOUSTON, TX 77090-4019
(832) 208-6966
(480) 984-8898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11698
TX
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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