Individual
LYDIA LAUREL PELLIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDIV
Contact information
Practice address
4525 LEMMON AVE, SUITE 200, DALLAS, TX 75219-2145
(214) 526-4525
(214) 520-6468
Mailing address
618 HIGHLAND OAKS ST, MOUNT VERNON, TX 75457-3616
(903) 537-2627
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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