Individual
ELISA PAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 668-3319
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 664-0145
(361) 668-3319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8618
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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