Individual
SANFORD KLUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 W WILLIAM CANNON DR, AUSTIN, TX 78745-5468
(281) 787-3881
Mailing address
1110 W WILLIAM CANNON DR, AUSTIN, TX 78745-5468
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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