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Individual

MR. MICHAEL CHASE SPAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MMFT, LPCS, LMFTS

Contact information

Practice address
805 S VERNON AVE, DALLAS, TX 75208-6272
(214) 403-5020
Mailing address
805 S VERNON AVE, DALLAS, TX 75208-6272
(214) 403-5020

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4953
TX

Other

Enumeration date
07/28/2006
Last updated
01/30/2025
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