Individual
SHAZIA HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3529 DENTON HWY, HALTOM CITY, TX 76117-3293
(817) 759-0707
(817) 759-0828
Mailing address
13025 SWEET BAY DR, EULESS, TX 76040-7181
(817) 201-8087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
50239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
SELF PAY
TX
Enumeration date
01/09/2023
Last updated
01/09/2023
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