Individual
ANDREW BEDNAREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1510 S. VINE STREET, TYLER, TX 75771
(903) 312-1988
Mailing address
1510 S VINE AVE, TYLER, TX 75701-2826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10024
TX
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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