Individual
MS. LEONIDAS TRAORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC-I
Contact information
Practice address
4801 BRENTWOOD STAIR RD, FORT WORTH, TX 76103-1729
(817) 492-9383
Mailing address
1425 SIERRA ESTATE TRL, FORT WORTH, TX 76119-2663
(682) 518-4508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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