Individual provider · Type 1 NPI
Real Delavergne, LCDC
Addiction (Substance Use Disorder) Counselor · Houston, TX
NPI number
1386854388
Active
Practice location
1300 Bay Area Blvd # A
Houston, TX 77058-2505
Mailing address
3304 Cedarcrest Dr
Pasadena, TX 77503-2122
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9214 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386854388
Real Delavergne, LCDC's National Provider Identifier is 1386854388, issued on May 22, 2007. 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 Jul 8, 2007.