Individual
GEORGE MATTHEW WYSOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1505 HARROUN AVE, MCKINNEY, TX 75069-3432
(972) 548-0209
(972) 548-0306
Mailing address
1505 HARROUN AVE, MCKINNEY, TX 75069-3432
(972) 548-0209
(972) 548-0306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8766
TX
Other
Enumeration date
07/22/2006
Last updated
10/30/2012
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