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Organization

CLEARVIEW COUNSELING GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZACHARY GRISHAM LPC-SUPERVISOR (FOUNDER, COUNSELOR)
(214) 396-6526
Entity
Organization

Contact information

Practice address
17330 PRESTON RD STE 110B, DALLAS, TX 75252-5911
(214) 396-6526
Mailing address
17330 PRESTON RD STE 110B, DALLAS, TX 75252-5911
(214) 396-6526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
464-67-4314
TRICARE
TX
Enumeration date
10/07/2019
Last updated
10/07/2019
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