Individual
AMBER KWESIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
704 E 15TH ST STE 205, PLANO, TX 75074-5712
(972) 763-5843
Mailing address
4404 COLDBROOK LN, SACHSE, TX 75048-4572
(214) 455-8738
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
73167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
N/A
—
Enumeration date
08/09/2019
Last updated
03/11/2020
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