Individual
MS. KATHRYN ELIZABETH KILCULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
15400 KNOLL TRAIL DR, SUITE 109, DALLAS, TX 75248-3467
(214) 738-2747
(972) 392-9041
Mailing address
15400 KNOLL TRAIL DR, SUITE 109, DALLAS, TX 75248-3467
(214) 738-2747
(972) 392-9041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDC 5614
TX
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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