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Individual
MRS. THERESA MAE HODGE
Active
Individual
MRS. THERESA MAE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC, NCC, LCDC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
84209
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
9703
TX
101YP2500X
Professional Counselor
Primary
19893
TX
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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