Individual
JEFFREY CHARLES PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2007 N COLLINS BLVD STE 301, RICHARDSON, TX 75080-2666
(469) 930-0171
Mailing address
433 BELLE GROVE DR UNIT 833251, RICHARDSON, TX 75083-4658
(940) 290-3191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
84429
TX
Other
Enumeration date
01/21/2021
Last updated
08/04/2022
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