Individual
SALANNA REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 S EDMONDS LN STE 106, LEWISVILLE, TX 75067-3554
(469) 617-5687
Mailing address
650 S EDMONDS LN STE 106, LEWISVILLE, TX 75067-3554
(469) 617-5687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
80841
TX
Other
Enumeration date
08/11/2020
Last updated
06/14/2024
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