person
Kelly Marie Runk, LCDC
Addiction (Substance Use Disorder) Counselor in Longview, Texas
NPI 1215504584

Kelly Marie Runk is an Addiction (Substance Use Disorder) Counselor based in Longview, TX and is specialized in Addiction (Substance Use Disorder). Kelly Marie Runk practices in Longview, TX and has the professional credentials of LCDC. The NPI Number for Kelly Marie Runk is 1215504584 and holds a License No. 14164 (Texas).

The current practice location address for Kelly Marie Runk is 950 N 4Th St, Longview, TX and can be reached out via phone at 903-758-2471 and via fax at 903-234-1639.

Location: 950 N 4Th St, Longview, TX, 75601-2912
person
Provider Profile Details
NPI Number
1215504584
Provider Name
Kelly Marie Runk
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
950 N 4Th St, Longview, TX, 75601-2912
Phone Number
903-758-2471
Fax Number
903-234-1639
Provider Enumeration Date
06/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
950 N 4Th St
City
State
Zip
75601-5436
Phone Number
903-758-2471
Fax Number
903-234-1639
person
Provider Business Mailing Address Details
Address
950 N 4Th St
City
State
Zip
75601-5436
Phone Number
903-758-2471
Fax Number
903-234-1639
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14164 (Texas)
Definition
Definition to come...
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