Individual
HEATHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1228 N LOGAN ST STE 100, TEXAS CITY, TX 77590-5171
(409) 908-3004
Mailing address
1228 N LOGAN ST STE 100, TEXAS CITY, TX 77590-5171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13630
TX
Other
Enumeration date
04/11/2020
Last updated
04/11/2020
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