| Mentoring Individuals Needing Offender Re-entry Support | |
|
4346 W Northgate Dr Apt 199 Irving TX 75062-2584 | |
| (972) 513-3819 | |
| Not Available |
| Full Name | Mentoring Individuals Needing Offender Re-entry Support |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4346 W Northgate Dr Apt 199, Irving, Texas |
| Authorized Official Name and Position | Deborah Harland (OWNER) |
| Authorized Official Contact | 9725133819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mentoring Individuals Needing Offender Re-entry Support 4346 W Northgate Dr Apt 199 Irving TX 75062-2584 Ph: (972) 513-3819 | Mentoring Individuals Needing Offender Re-entry Support 4346 W Northgate Dr Apt 199 Irving TX 75062-2584 Ph: (972) 513-3819 |
| NPI Number | 1467146696 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/16/2023 |
| Certification Date | 06/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467146696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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