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Individual

KIRK VANHOUSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC INTERN

Contact information

Practice address
621 LONDONDERRY LN, DENTON, TX 76205-7792
(940) 483-0644
(940) 483-9337
Mailing address
247 E SOUTHWEST PKWY APT 416, LEWISVILLE, TX 75067-8728
(817) 489-0026

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
41318
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000
DO NOT HAVE
Enumeration date
11/20/2019
Last updated
11/20/2019
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