Individual
DONNA STUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W PIONEER PKWY STE 120, ARLINGTON, TX 76010-6146
(817) 795-8278
(817) 795-8279
Mailing address
124 W PIONEER PKWY STE 120, ARLINGTON, TX 76010-6146
(817) 795-8278
(817) 795-8279
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12665
LCDC LICENSE
TX
Enumeration date
12/11/2019
Last updated
12/11/2019
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