Individual
ADRIENNE GARCIA-O'MALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2912 N MACARTHUR BLVD, STE. 107, IRVING, TX 75062-4447
(214) 260-2888
Mailing address
PO BOX 165941, IRVING, TX 75016-5941
(214) 260-2888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7561629699
OK
1041C0700X
Clinical Social Worker
2454
OK
1041C0700X
Clinical Social Worker
Primary
S37842
TX
Other
Enumeration date
07/18/2005
Last updated
12/31/2009
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