Individual
RODERICK DANE MAYFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
101 BRENNEN LN, ALVIN, TX 77511-3533
(409) 502-6548
Mailing address
4444 W MAIN ST, LEAGUE CITY, TX 77573-1737
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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