Organization
REBIRTH FAMILY CARE SERVICES
Active
Other names
Rebirth Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRYSTAL DIONNE DUDLEY LCDC (OWNER)
(469) 608-0295
Entity
Organization
Contact information
Practice address
2823 E ILLINOIS AVE, DALLAS, TX 75216-3421
(469) 608-0295
Mailing address
2823 E ILLINOIS AVE, DALLAS, TX 75216-3421
(469) 608-0295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
14398
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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