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Organization

PREMIERE COUNSELING AND RECOVERY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAMONT CORNELIUS MARTIN LCDC (DIRECTOR)
(214) 274-6455
Entity
Organization

Contact information

Practice address
1341 W MOCKINGBIRD LN, SUITE 600, WEST TOWER, DALLAS, TX 75247-6913
(214) 274-6455
Mailing address
PO BOX 190841, DALLAS, TX 75219-0841
(214) 274-6455

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12476
TX

Other

Enumeration date
12/07/2015
Last updated
12/07/2015
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