Individual
MRS. JULIET F DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 949-2311
Mailing address
101 TIGNER ST, ANGLETON, TX 77515-4568
(979) 949-2311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14508
TX
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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