Individual
ELAINE NEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
110 E HAWKINS PKWY APT 2603, LONGVIEW, TX 75605-3694
(903) 274-7808
Mailing address
110 E HAWKINS PKWY APT 2603, LONGVIEW, TX 75605-3694
(903) 274-7808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12664
TX
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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