Individual
DEBBIE JO STUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12689
TX
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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