Individual
LETICIA JUANITA MENARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 772-1558
Mailing address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 772-1558
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161111
TX
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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