Individual
MR. CLAUDE C MCCUTCHEON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC, LCDC
Contact information
Practice address
4927 BYERS AVE, FORT WORTH, TX 76107-4148
(512) 658-7582
Mailing address
4204 SHADOW DR, FORTH WORTH, TX 76116
(512) 658-7582
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
315
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9159
TX
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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