Individual
DIANE PUIG FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
3901 AIRPORT FWY STE 107, BEDFORD, TX 76021-6117
(817) 812-2880
Mailing address
PO BOX 822122, NORTH RICHLAND HILLS, TX 76182-2122
(956) 457-0087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
94667
TX
101YM0800X
Mental Health Counselor
94667
TX
101YP2500X
Professional Counselor
94667
TX
101YS0200X
School Counselor
94667
TX
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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