Individual
DR. WILLIAM G DEFOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, PHD
Contact information
Practice address
14675 MIDWAY RD, SUITE 116, ADDISON, TX 75001-3170
(214) 764-7930
(214) 764-7931
Mailing address
14675 MIDWAY RD, SUITE 116, ADDISON, TX 75001-3170
(214) 764-7930
(214) 764-7931
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3317
TX
101YM0800X
Mental Health Counselor
3317
TX
101YP2500X
Professional Counselor
3317
TX
106H00000X
Marriage & Family Therapist
3317
TX
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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