Wanda Marie Kennel LCDC, LSBW

  • NPI 1144278714
According to our database, the NPI number for Wanda Marie Kennel LCDC, LSBW is 1144278714 and activated since 17 years ago. Wanda Marie Kennel LCDC, LSBW is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 6563 Highland Rd, Gilmer, TX 75645. You can also contact Wanda Marie Kennel LCDC, LSBW via telephone number is (903) 734-5592. Provider NPI information was last updated on 09/17/2007.

Recently Active NPIs

Overview of Wanda Marie Kennel LCDC, LSBW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/05/2006
  • Last updated: 09/17/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 5922
  • License State: TX

Provider Mailing Address

  • Address: 6563 Highland Rd
    Gilmer, TX 75645
  • Phone: 903-734-5592
  • Fax:

Provider Practice Location

  • Address: 6563 Highland Rd
    Gilmer, TX 75645
  • Phone: 903-734-5592
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 5922
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: S23305
  • Identifier Type: Other
  • Identifier State: TX
  • Issuer: LBSW

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Wanda Marie Kennel LCDC, LSBW?
  • A: The npi number for Wanda Marie Kennel LCDC, LSBW is 1144278714.
  • Q: What are Wanda Marie Kennel LCDC, LSBW's specialties?
  • A: Wanda Marie Kennel LCDC, LSBW's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Wanda Marie Kennel LCDC, LSBW?
  • A: The medical license number for Wanda Marie Kennel LCDC, LSBW is 5922 and issued in TX in USA.
  • Q: Where is Wanda Marie Kennel LCDC, LSBW practice location?
  • A: Wanda Marie Kennel LCDC, LSBW is practicing at 6563 Highland Rd, Gilmer, TX 75645.
  • Q: How to contact Wanda Marie Kennel LCDC, LSBW?
  • A: You can contact Wanda Marie Kennel LCDC, LSBW via 903-734-5592.