Individual
TONY LEVON JERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2368 CENTER STONE LN, RIVIERA BEACH, FL 33404-1828
(713) 859-7814
Mailing address
2368 CENTER STONE LN, RIVIERA BEACH, FL 33404-1828
(713) 859-7814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14828
TX
Other
Enumeration date
08/23/2023
Last updated
08/24/2023
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