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Individual

DAVID VAN DER VIEREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCI

Contact information

Practice address
4221 MEDICAL PKWY, SUITE 400, CARROLLTON, TX 75010-4541
(952) 457-7086
Mailing address
4221 MEDICAL PARKWAY, SUITE 400, CARROLLTON, TEXAS 75010
(952) 457-7086

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75615
TX

Other

Enumeration date
04/14/2017
Last updated
04/14/2017
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