Individual provider · Type 1 NPI
Patrice L. Jernegons, LCDC
Addiction (Substance Use Disorder) Counselor · Longview, TX
NPI number
1114526274
Active
Practice location
107 Woodbine Pl
Longview, TX 75601-2912
Fax (903) 234-1639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9010 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Longview
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- Tony HallmarkAddiction (Substance Use Disorder) Counselor Longview, TX NPI 1134751407
- Joshua Shane Martinez, LCDC-I, MHPS, CHWAddiction (Substance Use Disorder) Counselor Longview, TX NPI 1144927039
About NPI 1114526274
Patrice L. Jernegons, LCDC's National Provider Identifier is 1114526274, issued on Oct 20, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Oct 20, 2020.