Individual
BERKELEY EDEN CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1660 KELLER PKWY, KELLER, TX 76248-3702
(817) 431-8900
Mailing address
1660 KELLER PKWY, KELLER, TX 76248-3702
(817) 431-8900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
TX
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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