Organization
ADD LIFE MENTORING OF VICTORIA
Active
Other names
Add Life Mentoring of Victoria
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISIAH JOHNSON (CEO)
(713) 571-9727
Entity
Organization
Contact information
Practice address
3308 BOBOLINK ST, VICTORIA, TX 77901-7612
(713) 571-9727
(281) 829-7236
Mailing address
3308 BOBOLINK ST, VICTORIA, TX 77901-7612
(713) 571-9727
(281) 829-7236
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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