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1518532597
MARK KAKOS
CONROE, TX
NPI
1518532597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 14548)
Enumeration Date
2021-05-23
Last Update Date
2021-05-23
Business Address
MARK KAKOS LCDC
9918 YEARLING PL
CONROE, TX 77385-2020
Phone number: 412-608-4322
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Mailing Address
MARK KAKOS LCDC
9918 YEARLING PL
CONROE, TX 77385-2020
Phone number: 412-608-4322
Copy
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