Individual
JAMES MICHAEL HARGRAVE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC,CEAP
Contact information
Practice address
3608 MELODY LN, TEXARKANA, TX 75503-0884
(903) 293-7485
(903) 614-7100
Mailing address
3608 MELODY LN, TEXARKANA, TX 75503-0884
(903) 293-7485
(903) 614-7100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
004160
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10223
TX
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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