Individual
MR. MIKEL JOSEPH MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC, CART
Contact information
Practice address
9535 FOREST LN, SUITE 104, DALLAS, TX 75243-5900
(214) 628-2688
(214) 628-2699
Mailing address
9535 FOREST LN, SUITE 104, DALLAS, TX 75243-5900
(214) 628-2688
(214) 628-2699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10740
TX
Other
Enumeration date
08/27/2008
Last updated
02/27/2013
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