Individual
MR. DANIEL CLAYTON COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.D.C
Contact information
Practice address
702 RICHVALE LN, HOUSTON, TX 77062-4223
(832) 580-7871
Mailing address
702 RICHVALE LN, HOUSTON, TX 77062-4223
(832) 580-7871
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10496
TX
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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