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Organization

INTREPID COUNSELING

Active
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Organization

INTREPID COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOV RABINOWITZ LCSW, LCDC (COUNSELOR)
(917) 541-9112
Entity
Organization

Contact information

Practice address
3900 W 15TH ST STE 305, PLANO, TX 75075-4725
(917) 541-9112
Mailing address
4213 DICKASON AVE APT 1, DALLAS, TX 75219-3533
(917) 541-9112

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12148
TX
101YM0800X
Mental Health Counselor
Primary
54998
TX

Other

Enumeration date
06/14/2017
Last updated
06/14/2017
About Stedi
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