Individual provider · Type 1 NPI

Mamie Leann Flynn

Addiction (Substance Use Disorder) Counselor · Fort Worth, TX

NPI number 1699434530 Active

Practice location

3840 Hulen St
Fort Worth, TX 76107-7277

Mailing address

PO Box 2603
Fort Worth, TX 76113-2603

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699434530

Mamie Leann Flynn's National Provider Identifier is 1699434530, issued on Dec 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 8, 2021.