Individual
FERNANDO LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4303 TEJAS PKWY, ORANGE, TX 77632-1358
(409) 839-3857
Mailing address
4303 TEJAS PKWY, ORANGE, TX 77632-1358
(409) 839-3857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9859
TX
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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