Individual
AIXA JANET MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 LAGO GRANDE DR, HORIZON CITY, TX 79928-7057
(915) 253-4543
(915) 307-4593
Mailing address
101 LAGO GRANDE DR, HORIZON CITY, TX 79928-7057
(915) 253-4543
(915) 307-4593
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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