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Organization
SUBSTANCE ABUSE GUIDANCE AND EDUCATION, LLC
Active
Organization
SUBSTANCE ABUSE GUIDANCE AND EDUCATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORREAN LYNN BROWN LCDC (EXE. DIRECTOR)
(512) 698-4951
Entity
Organization
Contact information
Practice address
3980 BOAT CLUB RD STE 207, LAKE WORTH, TX 76135-3207
(817) 238-9911
(817) 237-5711
Mailing address
165 CHURCHILL CIR, WEATHERFORD, TX 76085-2821
(817) 238-9911
(817) 237-5711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
01/20/2021
Last updated
08/24/2021
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