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Individual

MS. GENEVIEVE MAIDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
722 PIN OAK RD STE 220, KATY, TX 77494-6328
(281) 371-0360
(281) 371-2080
Mailing address
722 PIN OAK RD STE 220, KATY, TX 77494-6328
(281) 371-0360
(281) 371-2080

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11197
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220372101
TX
Enumeration date
01/31/2014
Last updated
01/31/2014
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