| Counseling And Diagnostic Center, Llc | |
|
16415 Addison Rd Suite 640 Addison TX 75001-3218 | |
| (214) 760-1964 | |
| (214) 760-9505 |
| Full Name | Counseling And Diagnostic Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 16415 Addison Rd, Addison, Texas |
| Authorized Official Name and Position | Susan Talmage (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2147601964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling And Diagnostic Center, Llc 16415 Addison Rd Suite 640 Addison TX 75001-3218 Ph: (214) 760-1964 | Counseling And Diagnostic Center, Llc 16415 Addison Rd Suite 640 Addison TX 75001-3218 Ph: (214) 760-1964 |
| NPI Number | 1356754527 |
|---|---|
| Provider Enumeration Date | 06/05/2014 |
| Last Update Date | 06/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356754527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 64837 (Texas) | Primary |
| 103TS0200X | Psychologist - School | 34150 (Texas) | Secondary |
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