Organization
CLAUSELL STOKES JR., LCDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAUSELL STOKES JR. LCDC (LICENSED CHEMICAL DEPENDENCY COUNSE)
(713) 569-1570
Entity
Organization
Contact information
Practice address
9896 BISSONNET ST, SUITE # 465, HOUSTON, TX 77036-8104
(713) 981-0922
(713) 981-0222
Mailing address
9896 BISSONNET ST, SUITE # 465, HOUSTON, TX 77036-8104
(713) 981-0922
(713) 981-0222
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
2647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2647
LICENSE CHEMICAL DEPENDENCY COUNSELOR (LCDC)
TX
Enumeration date
10/17/2011
Last updated
10/17/2011
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