Organization
DEVIATIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET CLAIRE NICHOLASAS (PRESIDENT/SECRETARY/TREASURER)
(713) 882-4268
Entity
Organization
Contact information
Practice address
15 RANCH CREEK WAY, MAGNOLIA, TX 77354
(713) 882-4268
(281) 292-2365
Mailing address
26203 OAKRIDGE DRIVE, THE WOODLANDS, TX 77380
(713) 882-4268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15464
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
1480
TX
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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