Individual
TONY HALLMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 N 4TH ST, LONGVIEW, TX 75601-5436
(903) 758-2471
Mailing address
950 N 4TH ST, LONGVIEW, TX 75601-5436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8314
TX
Other
Enumeration date
02/05/2020
Last updated
07/01/2024
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