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Individual

GABRIELLE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
4100 SPRING VALLEY RD STE 520, DALLAS, TX 75244-3629
(469) 431-0454
(844) 496-1266
Mailing address
4100 SPRING VALLEY RD STE 520, DALLAS, TX 75244-3629
(469) 431-0454
(844) 496-1266

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84649
TX

Other

Enumeration date
11/03/2020
Last updated
11/04/2020
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