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Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Paris, TX

NPI 1992307540 · NPPES record last updated Nov 9, 2020

Key facts

NPI
1992307540
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
15355 (TX)
Practice address
1200 Van Zandt St
Paris, TX 75460-3196
Phone
(903) 785-8638
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
15355TXMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X 15355 TX Yes

Addresses

Primary practice location

1200 Van Zandt St
Paris, TX 75460-3196

Mailing address

600 Windsong
Mesquite, TX 75149-2662
Phone (903) 905-2325

Electronic endpoints

TypeEndpointUseAffiliation
Other URL Paris Health Information Exchange (HIE)

Other providers in Paris, TX

All providers in Paris, TX · Addiction (Substance Use Disorder) Counselor in Texas

Sources for this page

Verify at the official NPI Registry.