Individual
MR. DUAN EDWARD HANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4610 WESTERDALE DR, FULSHEAR, TX 77441-4223
(979) 478-6117
Mailing address
PO BOX 698, WALLIS, TX 77485-0698
(979) 478-6117
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3553
TX
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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