Individual
SAM JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
101 W RENNER RD STE 220, RICHARDSON, TX 75082-2081
(972) 441-4432
Mailing address
442 SOUTHRIDGE WAY, IRVING, TX 75063-4299
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72753
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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