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Individual

GARY JON MENCHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW, LCDC, QMHP-CS

Contact information

Practice address
4521 CUPID DR, EL PASO, TX 79924-1723
(915) 747-3605
Mailing address
4521 CUPID DR, EL PASO, TX 79924-1723
(915) 747-3605

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11702
TX

Other

Enumeration date
05/02/2017
Last updated
05/02/2017
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