Individual
GRISELDA RUVALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
540 WILLOW LN, LAVON, TX 75166-1728
(972) 672-0934
Mailing address
540 WILLOW LN, LAVON, TX 75166-1728
(972) 672-0934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87493
TX
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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