Individual
DUDLEY LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3708 VALLEY FORGE DR, KILLEEN, TX 76543-4962
(773) 339-5622
Mailing address
3708 VALLEY FORGE DR, KILLEEN, TX 76543-4962
(773) 339-5622
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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