Canyon Lakes Rtc
Canyon Lakes Rtc is a Professional Counselor in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2009.
- Licensed in
- TX
- In the registry since
- 2009
Practice location Address checks out
2402 Canyon Lake DrLubbock, TX 79415-2000
Phone: (806) 762-5782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 64653 (TX) |
|---|
Record details
| NPI number | 1932333846 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lenise Staha — Executive Director · (806) 762-5782 |
| NPI enumerated | May 6, 2009 |
| Last updated in NPPES | May 6, 2009 |
| Mailing address | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 |
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