Individual
BRIANDA LIZETH DIAZ DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2612 VERANDAH LN APT 932, ARLINGTON, TX 76006-2647
(682) 298-1569
Mailing address
2612 VERANDAH LN APT 932, ARLINGTON, TX 76006-2647
(682) 298-1569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61795
TX
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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