Individual
MR. RAY LEWIS SUELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
10875 PINEWOOD DR, TYLER, TX 75703-9448
(903) 266-0850
Mailing address
10875 PINEWOOD DR, TYLER, TX 75703-9448
(903) 266-0850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13955
TX
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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