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Individual

MR. CODY BLAKE MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., LPC

Contact information

Practice address
17480 DALLAS PKWY, STE 114, DALLAS, TX 75287-7303
(214) 202-2264
(214) 975-6981
Mailing address
3718 WHITE RIVER, DALLAS, TX 75287-4814
(214) 202-2264
(214) 975-6981

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
63367
TX

Other

Enumeration date
08/25/2009
Last updated
02/08/2017
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