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Organization
VITALITY PROFESSIONAL COUNSELING, LLC
Active
Organization
VITALITY PROFESSIONAL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN GASTORF M.ED., LPC, NCC (LICENSED PROFESSIONAL COUNSELOR)
(972) 841-9509
Entity
Organization
Contact information
Practice address
6675 MEDITERRANEAN DR, #506, MCKINNEY, TX 75070-5573
(972) 841-9509
Mailing address
6675 MEDITERRANEAN DR, SUITE #506, MCKINNEY, TX 75070-5573
(972) 841-9509
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68165
TX
Other
Enumeration date
04/22/2015
Last updated
10/18/2015
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