Individual
KIMBERLY LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
110 E SAVANNAH AVE BLDG B201, MCALLEN, TX 78503-1291
(956) 627-3660
Mailing address
110 E SAVANNAH AVE BLDG B201, MCALLEN, TX 78503-1291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14668
TX
Other
Enumeration date
11/16/2020
Last updated
06/09/2023
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