# INTREPID COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730619537
- **Authorized official:** DOV RABINOWITZ LCSW, LCDC (COUNSELOR)
- **Authorized official phone:** (917) 541-9112

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 06/14/2017
- **Last updated:** 06/14/2017