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Organization
SMYTH COUNSELING
Active
Organization
SMYTH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SMYTH (REGISTERED AGENT)
(214) 319-9447
Entity
Organization
Contact information
Practice address
6220 GASTON AVE STE 501, DALLAS, TX 75214-4354
(469) 371-5886
(214) 824-3860
Mailing address
517 CLERMONT ST, DALLAS, TX 75223-1207
(469) 371-5886
(214) 824-3860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 13621
TX
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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