Individual
DR. CARISSA ANN D'ANIELLO HEYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5836 88TH ST, LUBBOCK, TX 79424-3649
(203) 605-0390
Mailing address
5836 88TH ST, LUBBOCK, TX 79424-3649
(203) 605-0390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
002754
CT
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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