Individual
WILLIAM KISSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11510 HOMESTEAD RD, HOUSTON, TX 77016-1237
(281) 449-3233
(281) 449-3230
Mailing address
11510 HOMESTEAD RD, HOUSTON, TX 77016-1237
(281) 449-3233
(281) 449-3230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4216
TX
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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