Individual
JANESE THEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3507 W ALBERTA RD, EDINBURG, TX 78539-8466
(956) 627-1149
Mailing address
3507 W ALBERTA RD, EDINBURG, TX 78539-8466
(956) 627-1149
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19398129
TX
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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