# DR. THEODORA H. KOEHN, P.C.

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

## Provider details

- **NPI number:** 1982839098
- **Authorized official:** DR. THEODORA HART KOEHN LPC (PRESIDENT)
- **Authorized official phone:** (214) 435-4620

## Contact information

- **Practice address:** 17300 PRESTON RD, SUITE 160, DALLAS, TX 75252-5654
- **Practice address phone:** (214) 435-4620
- **Practice address fax:** (972) 733-6564
- **Mailing address:** 17300 PRESTON RD, SUITE 160, DALLAS, TX 75252-5654
- **Mailing address phone:** (214) 435-4620
- **Mailing address fax:** (972) 733-6564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 19497 | TX | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 05/18/2009