Individual
MICHAEL DOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4801 BRENTWOOD STAIR RD STE 404, FT WORTH, TX 76103-1731
(817) 492-9383
(817) 492-9575
Mailing address
4801 BRENTWOOD STAIR RD STE 404, FT WORTH, TX 76103-1731
(817) 492-9383
(817) 492-9575
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14686
TX
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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