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Individual

MRS. FLORA DIANE ANDERSON-CAPTAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
400 S ZANG BLVD, SUITE 828, DALLAS, TX 75208-6600
(214) 948-9200
(214) 948-6776
Mailing address
400 S ZANG BLVD, SUITE 828, DALLAS, TX 75208-6600
(214) 948-9200
(214) 948-6776

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13245
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001039475
MANAGED HEALTH NETWORK
TN
01
1091954
CIGNA HEALTH
TX
01
125835
VALUE OPTION
TX
01
3210LC
BLUE CROSS BLUE SHIELD
TX
01
62-42824
UNITED HEALTHCARE
TX
Enumeration date
08/31/2006
Last updated
07/08/2007
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