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Individual

REYNALDO ELIAS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
INTERN

Contact information

Practice address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
(956) 728-0440
Mailing address
1205 E HILLSIDE RD, LAREDO, TX 78041-3318
(956) 728-0440

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
56786
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TX

Other

Enumeration date
10/21/2021
Last updated
10/21/2021
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