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Organization
SOULQUEST
Active
Organization
SOULQUEST
Active
Other names
ADHD Wichita Falls
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROCHELLE DIANE GRANBERY M.ED., LPC (SOLE PROPRIETOR)
(940) 228-9732
Entity
Organization
Contact information
Practice address
2407 KEMP BLVD, SUITE B, WICHITA FALLS, TX 76309-5353
(940) 228-9732
Mailing address
2407 KEMP BLVD, SUITE B, WICHITA FALLS, TX 76309-5353
(940) 228-9732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11729
TX
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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