Individual
OCIE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCI
Contact information
Practice address
4525 GLENWOOD AVE, DEER PARK, TX 77536-7901
(346) 392-1934
Mailing address
11931 GREENSBROOK FOREST DR, HOUSTON, TX 77044-7282
(346) 392-1934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
59374
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164745550
—
TX
Enumeration date
06/20/2022
Last updated
06/20/2022
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