Organization
ALEXANDR VATTAMALA PHILIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDR VATTAMALA PHILIP (LICENSED PROFESSIONAL COUNSELOR)
(214) 436-2272
Entity
Organization
Contact information
Practice address
2301 OLYMPIA DR STE 100, FLOWER MOUND, TX 75028-1855
(214) 436-2272
(469) 464-9924
Mailing address
1400 VALLEY RIDGE BLVD APT 5107, LEWISVILLE, TX 75077-2998
(214) 436-2272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
74513
TX
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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