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Organization
COUNSELING AND DIAGNOSTIC CENTER, LLC
Active
Organization
COUNSELING AND DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANN TALMAGE PHD (EXECUTIVE DIRECTOR)
(214) 760-1964
Entity
Organization
Contact information
Practice address
1412 MAIN ST, SUITE 200, DALLAS, TX 75202-4014
(214) 760-1964
(214) 760-9505
Mailing address
1412 MAIN ST, SUITE 200, DALLAS, TX 75202-4014
(214) 760-1964
(214) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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