Individual
OSAGIE OSARENIYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1813 HARWOOD CT, HURST, TX 76054-3190
(866) 287-5921
Mailing address
8850 FERGUSON RD APT 3045, DALLAS, TX 75228-8325
(972) 757-2200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12965
TX
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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