Individual
DIAMOND TAKISHA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
406 E HOGAN DR, COPPERAS COVE, TX 76522-1835
(512) 200-2304
Mailing address
539 W COMMERCE ST # 2117, DALLAS, TX 75208-1953
(512) 200-2304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87320
TX
Other
Enumeration date
04/12/2023
Last updated
01/14/2025
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