Individual
MR. JOHNNY LEE COUNTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2815 RICHMOND RD, #122, TEXARKANA, TX 75503-5100
(903) 334-9067
(903) 334-9067
Mailing address
2815 RICHMOND RD, #122, TEXARKANA, TX 75503-5100
(903) 334-9067
(903) 334-9067
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9491
TX
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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