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1487180162
JULIAN CORREA
EL PASO, TX
NPI
1487180162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 8640)
Enumeration Date
2017-05-02
Last Update Date
2017-05-02
Business Address
-- JULIAN CORREA LCDC, ADS, QMHP-CS
1643 PHIL GIBBS DR
EL PASO, TX 79936-5721
Phone number: 915-346-3245
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Mailing Address
-- JULIAN CORREA LCDC, ADS, QMHP-CS
1643 PHIL GIBBS DR
EL PASO, TX 79936-5721
Phone number: 915-346-3245
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