Doctor Name: | MR. GARY SOSBEE |
NPI Number: | 1033558721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 11043 |
Business Practice Address: | 2201 S W S Young Dr Ste 116b Killeen, TX - 765435349 |
Business Phone Number: | 2546342212 |
Business Fax Number: | |
Mailing Address: | Po Box 1331, BELTON |
State: | TX |
Postal Code: | 765135331 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/17/2013 |
NPI Last Update Date: | 06/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11043 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |