Individual
DIANNA BLEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
8035 E RL THRTN FWY # 328, DALLAS, TX 75228-7018
(972) 748-8973
Mailing address
8035 E RL THRTN FWY, DALLAS, TX 75228-7018
(972) 748-8973
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16171
TX
374J00000X
Doula
—
—
Other
Enumeration date
06/17/2022
Last updated
10/02/2023
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