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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 TALMAGE PHD (EXECUTIVE DIRECTOR)
(214) 760-1964
Entity
Organization
Contact information
Practice address
16415 ADDISON RD, SUITE 640, ADDISON, TX 75001-3218
(214) 760-1964
(214) 760-9505
Mailing address
16415 ADDISON RD, SUITE 640, ADDISON, TX 75001-3218
(214) 760-1964
(214) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64837
TX
103TS0200X
School Psychologist
34150
TX
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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