Individual
DONNY DEAN VANBLARIUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
102 BUSINESS DR W, KERRVILLE, TX 78028-4326
(830) 367-4667
(830) 367-4687
Mailing address
102 BUSINESS DR W, KERRVILLE, TX 78028-4326
(830) 367-4667
(830) 367-4687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
53181
TX
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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