Organization
APPLEGATE RECOVERY OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN B THOMAS LPC (CLINICAL DIRECTOR/MANAGING MEMBER)
(318) 469-0968
Entity
Organization
Contact information
Practice address
619 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 205-5650
Mailing address
619 RUSSELL BLVD, NACOGDOCHES, TX 75965-1247
(936) 205-5650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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