Individual
MISTY LOCKNANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
855 CENTRAL DR, SUITE 2, ODESSA, TX 79761-4200
(432) 614-5720
(877) 729-4033
Mailing address
855 CENTRAL DR, SUITE 2, ODESSA, TX 79761-4200
(432) 614-5720
(877) 729-4033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11270
TX
Other
Enumeration date
04/27/2011
Last updated
02/12/2014
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