Individual
JOHN WILLIAM NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4675 WASHINGTON BLVD STE C, BEAUMONT, TX 77707-4321
(409) 842-2408
(409) 842-2462
Mailing address
4675 WASHINGTON BLVD STE C, BEAUMONT, TX 77707-4321
(409) 842-2408
(409) 842-2462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03848
TX
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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