Individual
MR. RAUL DE LEON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
202 S G ST, HARLINGEN, TX 78550-6068
(956) 365-6526
Mailing address
202 S G ST, HARLINGEN, TX 78550-6068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13004
TX
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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