Individual
MARA B EDMUNDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, EMDR, LMFTA
Contact information
Practice address
1211 S MAIN ST STE 300, KELLER, TX 76248-0820
(817) 201-2444
Mailing address
1211 S MAIN ST STE 300, KELLER, TX 76248-0820
(254) 498-7487
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203812
TX
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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