Individual
BIANCA ANGELINA MICKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2770 MAIN ST, FRISCO, TX 75033-4302
(254) 290-7874
Mailing address
1707 N HALL ST, DALLAS, TX 75204-3911
(254) 290-7874
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
70937
TX
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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