Individual
MRS. ANNELLA GRACE DIDIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
6226 A COLLEYVILLE BLVD, COLLEYVILLE, TX 76034-6277
(817) 797-4948
(817) 545-1565
Mailing address
6226 A COLLEYVILLE BLVD., COLLEYVILLE, TX 76034
(817) 797-4948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65671
TX
101YM0800X
Mental Health Counselor
65671
TX
101YP2500X
Professional Counselor
65671
TX
106H00000X
Marriage & Family Therapist
65671
TX
Other
Enumeration date
08/09/2011
Last updated
02/28/2013
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