Individual provider · Type 1 NPI
Misty Locknane, LCDC
Addiction (Substance Use Disorder) Counselor · Odessa, TX
NPI number
1508157322
Active
Practice location
855 Central Dr, Suite 2
Odessa, TX 79761-4200
Fax (877) 729-4033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11270 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1508157322
Misty Locknane, LCDC's National Provider Identifier is 1508157322, issued on Apr 27, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Odessa, TX. The record was last updated on Feb 12, 2014.