Individual
BENLON VONDRE EAGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC
Contact information
Practice address
12700 PRESTON RD, SUITE 150, DALLAS, TX 75230
(940) 453-3464
Mailing address
12700 PRESTON RD, SUITE 150, DALLAS, TX 75230
(940) 453-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63356
TX
Other
Enumeration date
02/20/2012
Last updated
11/04/2015
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