Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRE DESHONG, LCDC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · TYLER, TX
Registration Details
- NPI Number
- 1467683078
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 30, 2009 (16.738727477554 yrs)
- Last Updated
- Mar 14, 2023
- License
-
10930 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 PALUXY DR STE 405TYLER, TX, 757031662Browse TX providers · Browse ZIP 75703
- Phone
- 9032536531
- Fax
- 9035656087
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TYLER, TX
| Name | Credential | NPI |
|---|---|---|
| DANIEL LUTHER HOSCH | LCDC | 1558457846 |
| MR. DWAYNE MICHAEL COX | LCDC | 1134295454 |
| GERALD LEWIS TUCKER | — | 1972792141 |
| PAMELA WOOD HICKS | LCDC | 1720304496 |
| MS. ANGELA LINDLEY | LCDC | 1437428059 |
| TIMOTHY I MING | LCDC | 1760751366 |
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.