Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MARIE RUNK, LCDC
Active Sole ProprietorKELLY MARIE RUNK, LCDC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in LONGVIEW, Texas. NPI 1215504584 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · LONGVIEW, TX
Registration Details
- NPI Number
- 1215504584
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2021 (5.1672573878508 yrs)
- Last Updated
- Jun 7, 2021
- License
-
14164 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
950 N 4TH STLONGVIEW, TX, 756015436Browse TX providers · Browse ZIP 75601
- Phone
- 9037582471
- Fax
- 9032341639
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in LONGVIEW, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. SALLY GOSSETT BARRON | LPC | 1811919392 |
| MAUREEN WALSTON | — | 1629367214 |
| CONNIE CALDWELL | — | 1164711677 |
| MARY ALPHIN | — | 1700175213 |
| LINDSEY LITTLE | — | 1245529759 |
| SHA-RON MCNAUGHTON | — | 1972892487 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.