Individual
MS. KELLEY CAMILLE VERPOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC, CART, CCJP
Contact information
Practice address
239 S. VIRGINIA STREET, STEPHENVILLE, TX 76401
(254) 965-5515
Mailing address
1520 COUNTY ROAD 700, CLEBURNE, TX 76031-0301
(817) 645-3370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5063
TX
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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