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Organization

CCA BEHAVIORAL HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD STANLEY CHANDLER JR. PH.D. (MEMBER/CLINICAL DIRECTOR)
(214) 946-3676
Entity
Organization

Contact information

Practice address
424 S CORINTH STREET RD, DALLAS, TX 75203-3418
(214) 946-3676
(214) 941-0579
Mailing address
424 S CORINTH STREET RD, DALLAS, TX 75203-3418
(214) 946-3676
(214) 941-0579

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17388
TX

Other

Enumeration date
02/18/2009
Last updated
02/18/2009
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