REAL DELAVERGNE

HOUSTON, TX
NPI1386854388
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  9214)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
Mr. REAL DELAVERGNE LCDC
1300 BAY AREA BLVD # A
HOUSTON, TX 77058-2505
Phone number: 281-212-2918
Mailing Address
Mr. REAL DELAVERGNE LCDC
3304 CEDARCREST DR
PASADENA, TX 77503-2122
Phone number: 281-212-2918
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