Individual
MR. MILTON HERMAN NEITSCH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDCI
Contact information
Practice address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 299-4660
Mailing address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(956) 299-4660
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
58026
TX
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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