Individual provider · Type 1 NPI
Liddia George, LCDC
Addiction (Substance Use Disorder) Counselor · San Antonio, TX
NPI number
1235775206
Active
Practice location
419 E Magnolia Ave
San Antonio, TX 78212-3012
Fax (210) 587-3533
Mailing address
PO Box 15440
San Antonio, TX 78212-8640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11667 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1235775206
Liddia George, LCDC's National Provider Identifier is 1235775206, issued on Nov 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Nov 25, 2019.