Individual
JOSEPH EARL MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 ROCK PRAIRIE RD STE 101, COLLEGE STATION, TX 77845-8652
(979) 559-3958
Mailing address
1651 ROCK PRAIRIE RD STE 101, COLLEGE STATION, TX 77845-8652
(979) 559-3958
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
51627
TX
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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