Individual
GUADELUPE BOTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
(956) 728-0440
Mailing address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11212
TX
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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