Individual
TIMOTHY LUCAS DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LPC-A
Contact information
Practice address
105 LOOKOUT DR, DEL RIO, TX 78840-2136
(830) 313-2787
Mailing address
105 LOOKOUT DR, DEL RIO, TX 78840-2136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95960
TX
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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