Individual
CHRISTOPHER SLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1135 S MAIN ST, GRAPEVINE, TX 76051-7533
(817) 329-5041
Mailing address
1135 S MAIN ST, GRAPEVINE, TX 76051-7533
(817) 329-5041
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
38821
TX
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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