Individual
LUCAS DANIEL HORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
700 HEMPHILL ST, FORT WORTH, TX 76104-3105
(817) 334-0111
Mailing address
7408 MEADOWVIEW TER, NORTH RICHLAND HILLS, TX 76182-7619
(817) 454-3969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
67651
TX
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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