Individual
MS. WENDY R CLUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
4001 W 15TH ST STE 465, PLANO, TX 75093-5845
(972) 985-1599
(972) 396-4142
Mailing address
4001 W 15TH ST STE 465, PLANO, TX 75093-5845
(972) 985-1599
(972) 396-4142
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5488
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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