Individual
IDALIE CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPSY, LPA
Contact information
Practice address
1106 SANTA FE TRL, DUNCANVILLE, TX 75137-3063
(972) 863-2668
Mailing address
918 KENDALL DR, ARLINGTON, TX 76001-6106
(817) 897-4518
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
37381
TX
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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