Individual
ANTIONETTE SIMONE OLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11500 LAGO VIS E APT 1314, FARMERS BRANCH, TX 75234-6837
(757) 620-3903
Mailing address
7750 N MACARTHUR BLVD STE 120-293, IRVING, TX 75063-7514
(757) 620-3903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701011859
VA
101YP2500X
Professional Counselor
Primary
97252
TX
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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