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Organization

SELF AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES HERSHELL SELF LMFT (THERAPIST)
(214) 732-6121
Entity
Organization

Contact information

Practice address
6130 RICHMOND AVE, DALLAS, TX 75214
(214) 732-6121
(214) 827-4974
Mailing address
6130 RICHMOND AVE, DALLAS, TX 75214
(214) 732-6121
(214) 827-4974

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16442
TX

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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