Individual
MS. SUSAN DELAINE FARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCDC
Contact information
Practice address
2340 TRINITY MILLS, SUITE 300, CARROLLTON, TX 75006
(972) 814-3392
(972) 417-2800
Mailing address
P.O. BOX 475, LEWISVILLE, TX 75067
(972) 814-3392
(972) 417-2800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7514
TX
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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