Individual
MS. SANDRA DIANE FILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3401 57TH ST, PORT ARTHUR, TX 77642-5902
(409) 839-1000
Mailing address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 444-7825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11820
TX
Other
Enumeration date
11/09/2021
Last updated
11/15/2021
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