Organization
COUNSELING AND DIAGNOSTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANN TALMAGE PHD (EXECUTIVE DIRECTOR)
(214) 760-1964
Entity
Organization
Contact information
Practice address
1412 MAIN ST, SUITE 200, DALLAS, TX 75202-4014
(214) 760-1964
(214) 760-9505
Mailing address
1412 MAIN ST, SUITE 200, DALLAS, TX 75202-4014
(214) 760-1964
(214) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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