Individual
STEPHANIE PATAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC ASSOCIATE
Contact information
Practice address
12800 HILLCREST RD STE A103, DALLAS, TX 75230-1524
(972) 825-6570
Mailing address
3114 CAMBRIDGE DR, ROWLETT, TX 75088-5911
(817) 219-9094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
86969
TX
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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