Individual
DAVID TODD KITSMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1380 RIVER BEND DRIVE, DALLAS, TX 75247
(214) 743-6159
Mailing address
1380 RIVER BEND DRIVE, DALLAS, TX 75247
(214) 743-6159
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15789
LICENSED PROFESSIONAL COUNSELOR
TX
Enumeration date
04/30/2008
Last updated
12/14/2012
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