Individual
JOSHUA LEVI LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC-I
Contact information
Practice address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 299-4671
Mailing address
2216 PADRE BLVD STE B177, SOUTH PADRE ISLAND, TX 78597-0204
(415) 889-0672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
49172
TX
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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