Individual
CONNIE LEA CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1501 S COULTER ST, AMARILLO, TX 79106-1770
(806) 354-1000
Mailing address
1101 S JACKSON ST APT 24, AMARILLO, TX 79101-4164
(806) 206-6590
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12449
TX
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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