Organization
AUTHENTIC THERAPY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUDDY DETZEL LPC (OWNER)
(214) 701-1987
Entity
Organization
Contact information
Practice address
13747 MONTFORT DR STE 230, DALLAS, TX 75240-4454
(214) 506-3134
Mailing address
11846 RUPLEY LN, DALLAS, TX 75218-2068
(214) 506-3134
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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