Individual
ALICIA KIENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 SANDY TRL, RICHARDSON, TX 75080-3423
(530) 306-9960
Mailing address
432 SANDY TRL, RICHARDSON, TX 75080-3423
(530) 306-9960
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
93220
TX
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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