Individual
JAMES LESLIE CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW, LCDC
Contact information
Practice address
5455 LONGVIEW ST, DALLAS, TX 75206-5605
(972) 998-0571
Mailing address
5455 LONGVIEW ST, DALLAS, TX 75206-5605
(972) 998-0571
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
104100000X
Social Worker
Primary
LMSW # 57557
TX
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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