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Individual

AMBER ELISSA HARGROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
16415 ADDISON RD STE 305, SUITE 305, ADDISON, TX 75001-3218
(817) 501-6514
Mailing address
16415 ADDISON RD STE 305, SUITE 305, ADDISON, TX 75001-3218

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
67428
TX

Other

Enumeration date
08/28/2015
Last updated
08/28/2015
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