Individual
GAGE PAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
6917 FREMONT AVE APT B, LUBBOCK, TX 79413-6200
(806) 759-3434
Mailing address
6917 FREMONT AVE APT B, LUBBOCK, TX 79413-6200
(806) 759-3434
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17404
TX
Other
Enumeration date
05/19/2025
Last updated
05/30/2025
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