Individual
STAR LYNN GENERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1719 ANALOG DR, RICHARDSON, TX 75081-1944
(214) 812-9802
(512) 900-8325
Mailing address
622 ASBURY PARK, GARLAND, TX 75043-5403
(214) 881-8118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10119
TX
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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