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Organization

DIAGNOSTIC AND COUNSELING SERVICES

Active
Other names
Mary Roldan
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY ELIZABETH ROLDAN-BALBOA LPC (OWNER)
(469) 685-3572
Entity
Organization

Contact information

Practice address
12609 BLUE RIDGE DR, FRISCO, TX 75033-0970
(469) 685-3572
Mailing address
12609 BLUE RIDGE DR, FRISCO, TX 75033-0970
(469) 685-3572

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376084046
MEDICIAD
TX
Enumeration date
01/28/2019
Last updated
11/20/2024
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