Organization
BLANK SLATE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HOUSER LPC, RPT (DIRECTOR)
(972) 345-4565
Entity
Organization
Contact information
Practice address
7000 PARKWOOD BLVD, SUITE G400, FRISCO, TX 75034-7406
(972) 345-4565
Mailing address
7000 PARKWOOD BLVD, SUITE G400, FRISCO, TX 75034-7406
(972) 345-4565
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
68617
TX
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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