Organization
CAVIAR CLINICIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA KATELY EAGLIN LPC-A (OWNER)
(337) 909-4552
Entity
Organization
Contact information
Practice address
539 WEST COMMERCE ST. #3754, DALLAS, TX 75208-1953
(214) 631-9762
(214) 617-0282
Mailing address
539 WEST COMMERCE ST. #3754, DALLAS, TX 75208-1953
(214) 631-9762
(214) 617-0282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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