Individual
BLANCA EUGENIA BOU-FITZMAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. IN COUNSELING
Contact information
Practice address
5065 AMESBURY DR APT 191, DALLAS, TX 75206
(214) 433-6433
Mailing address
5065 AMESBURY DR APT 191, DALLAS, TX 75206-4628
(915) 234-0565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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