Individual
MS. RUBY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2800 BEAUMONT AVE, LIBERTY, TX 77575-5126
(936) 776-2979
Mailing address
PO BOX 580161, HOUSTON, TX 77258-0161
(281) 739-8161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11036
TX
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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