Individual
LEROY LARRY SENNETTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
134 W COLLEGE AVE, SAN ANGELO, TX 76903-5816
(325) 653-4210
Mailing address
134 W COLLEGE AVE, SAN ANGELO, TX 76903-5816
(325) 653-4210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15599
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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