Individual
DEBBIE JO STUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC MA
Contact information
Practice address
1615 HILLENDAHL BLVD STE 100, HOUSTON, TX 77055-3416
(713) 462-6565
Mailing address
5502 1ST ST, KATY, TX 77493-2472
(713) 462-6565
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12689
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628
—
TX
Enumeration date
10/09/2020
Last updated
12/10/2024
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