Individual
MRS. MELISSA DIANE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
1409 S LAMAR ST, SUITE 416, DALLAS, TX 75215-1871
(469) 939-4310
Mailing address
1409 S LAMAR ST, SUITE 416, DALLAS, TX 75215-1871
(469) 939-4310
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201398
TX
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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