Individual
MICHAEL CARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1501C S WHEELER ST, JASPER, TX 75951-5103
(409) 622-9252
(409) 397-9959
Mailing address
1501C S WHEELER ST, JASPER, TX 75951-5103
(409) 622-9252
(409) 397-9959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14081
TX
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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