Individual
RUSTY LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC, BCIAC
Contact information
Practice address
4530 BELTWAY DR, ADDISON, TX 75001-3707
(469) 358-1309
Mailing address
4530 BELTWAY DR, ADDISON, TX 75001-3707
(469) 358-1309
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60245
TX
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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