Organization
INTREPID COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOV RABINOWITZ LCSW, LCDC (COUNSELOR)
(917) 541-9112
Entity
Organization
Contact information
Practice address
3900 W 15TH ST STE 305, PLANO, TX 75075-4725
(917) 541-9112
Mailing address
4213 DICKASON AVE APT 1, DALLAS, TX 75219-3533
(917) 541-9112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12148
TX
101YM0800X
Mental Health Counselor
Primary
54998
TX
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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