Individual
MS. DIANE EUNICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-A
Contact information
Practice address
418 EUREKA ST, WEATHERFORD, TX 76086-5439
(682) 201-8175
Mailing address
10501 UNITY DR, FORT WORTH, TX 76108-8921
(817) 773-8346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
201759
TX
106H00000X
Marriage & Family Therapist
Primary
201759
TX
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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