Individual provider · Type 1 NPI
Fayetta Michelle Bland, MBA, MA, LCDC
Addiction (Substance Use Disorder) Counselor · Houston, TX
NPI number
1386342574
Active
Practice location
1322 Space Park Dr Ste C145
Houston, TX 77058-3542
Mailing address
6603 Hopper Rd
Houston, TX 77016-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386342574
Fayetta Michelle Bland, MBA, MA, LCDC's National Provider Identifier is 1386342574, issued on Feb 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Houston, TX. The record was last updated on Feb 17, 2023.