Individual
JESSICA CHAVOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3720 RAWLINS ST APT I, DALLAS, TX 75219-4220
(240) 430-4897
Mailing address
6418 FISHER RD APT 215A, DALLAS, TX 75214-1695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
75021
TX
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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