Individual
MAYME L. CONNORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
3500 OAK LAWN AVE STE 200, DALLAS, TX 75219-6714
(214) 385-5445
Mailing address
7740 BANTRY LN, DALLAS, TX 75248-1706
(817) 564-4471
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
15741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15741
STATE LCDC LICENSE
TX
Enumeration date
07/08/2021
Last updated
04/24/2024
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