Individual
DIMPLE SHAH RAJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 PLANO PKWY STE 701, CARROLLTON, TX 75010-5031
(972) 357-6387
Mailing address
4116 EGRET LN, CARROLLTON, TX 75007-1491
(972) 357-6387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72870
TX
Other
Enumeration date
09/29/2016
Last updated
09/26/2024
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