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Liesa Pavoggi
Addiction (Substance Use Disorder) Counselor in Killeen, Texas
NPI 1851756951

Liesa Pavoggi is an Addiction (Substance Use Disorder) Counselor based in Killeen, TX and is specialized in Addiction (Substance Use Disorder). Liesa Pavoggi practices in Killeen, TX. The NPI Number for Liesa Pavoggi is 1851756951 and holds a License No. 71045 (Texas).

The current practice location address for Liesa Pavoggi is 265 Acorn Ln, Killeen, TX and can be reached out via phone at 254-781-6288.

Location: 265 Acorn Ln, Killeen, TX, 76542-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851756951
Provider Name
Liesa Pavoggi
Credential
Provider Entity Type
Individual
Gender
Female
Address
265 Acorn Ln, Killeen, TX, 76542-5001
Phone Number
254-781-6288
Fax Number
Provider Enumeration Date
12/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1487913711 01 TX UNITED STATES ARMY
institution
Provider Business Practice Location Address Details
Address
265 Acorn Ln
City
Killeen
State
Texas
Zip
76542-5001
Phone Number
254-781-6288
Fax Number
person
Provider Business Mailing Address Details
Address
265 Acorn Ln
City
Killeen
State
Texas
Zip
76542-5001
Phone Number
254-781-6288
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
12300 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
71045 (Texas)
Definition
Definition to come...
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