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Organization
LDS FAMILY SERVICES
Active
Organization
LDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC OAKES LARSON LCSW (COUNSELING MANAGER)
(214) 538-7847
Entity
Organization
Contact information
Practice address
1100 W JACKSON RD, CARROLLTON, TX 75006-1316
(972) 242-2182
(972) 242-9232
Mailing address
1100 W JACKSON RD, CARROLLTON, TX 75006-1316
(972) 242-2182
(972) 242-9232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003NF - 84007L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/12/2006
Last updated
05/08/2012
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