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Individual

ADDIE S LUGINBYHL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
1101 RIDGE RD # 226-227, ROCKWALL, TX 75087-4250
(972) 961-1010
Mailing address
1101 RIDGE RD # 226-227, ROCKWALL, TX 75087-4250
(972) 961-1010

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
85439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85439
LPC-ASSOCIATE LICENSE
TX
Enumeration date
10/03/2022
Last updated
02/03/2025
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