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Individual

MS. AMBER AVANCE I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.,LPC-INTERN

Contact information

Practice address
408 W AVENUE F, MIDLOTHIAN, TX 76065-2963
(972) 723-0044
(972) 775-2002
Mailing address
408 W AVENUE F, MIDLOTHIAN, TX 76065-2963
(972) 723-0044
(972) 775-2002

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
65294
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
65294
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
11/11/2013
Last updated
11/11/2013
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