Individual
BENITO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
6960 DICK PRICE ROAD, MANSFIELD, TX 76063
(817) 953-8711
(817) 953-0087
Mailing address
6960 DICK PRICE ROAD, MANSFIELD, TX 76063
(817) 953-8711
(817) 953-0087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28451395
TX
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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