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Organization
IMADULATION INTERNATIONAL, LP
Active
Organization
IMADULATION INTERNATIONAL, LP
Active
Other names
The Stress & Happiness Cntr of Dallas
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN SIMON LPC (PRESIDENT/FOUNDER)
(972) 880-0102
Entity
Organization
Contact information
Practice address
17304 PRESTON RD, #800, DALLAS, TX 75252-5618
(972) 880-0102
Mailing address
7201 CUTTER MILL DR, DALLAS, TX 75248-1609
(972) 880-0102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14751
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3705 LC
BCBS
TX
Enumeration date
12/30/2009
Last updated
07/15/2011
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