Individual
OCTAVIOUS MONIQUE DANGERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3633 PENDLETON CT, HEARTLAND, TX 75126-2590
(214) 815-5672
Mailing address
3633 PENDLETON CT, HEARTLAND, TX 75126-2590
(214) 815-5672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
172A00000X
Driver
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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