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Organization
BROAD SKIES COUNSELING, PLLC
Active
Organization
BROAD SKIES COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA E DIENNO (OWNER)
(512) 781-6303
Entity
Organization
Contact information
Practice address
3000 POLAR LN STE 203, CEDAR PARK, TX 78613-3065
(512) 781-6303
Mailing address
807 SPRINGBROOK LN, LEANDER, TX 78641-2955
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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