Kelly Marie Runk, LCDC

NPI #1215504584 in Longview, Texas

Provider Information

NPI Number
1215504584
Entity Type
Individual
Name
Kelly Marie Runk, LCDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC
Enumeration Date
Jun 7, 2021
Last Updated
Jun 7, 2021

Practice Location

Address
950 N 4TH ST
State
Texas
ZIP Code
75601-5436
Phone
(903) 758-2471

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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