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9191 Kyser Way Suite 605 Frisco TX 75033-1953 | |
| (972) 546-2874 | |
| (972) 468-9399 |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9191 Kyser Way, Frisco, Texas |
| Authorized Official Name and Position | Carole Gilmore (OWNER) |
| Authorized Official Contact | 9725462874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2683 Frisco TX 75034-0050 Ph: (972) 546-2874 | 9191 Kyser Way Suite 605 Frisco TX 75033-1953 Ph: (972) 546-2874 |
| NPI Number | 1770971517 |
|---|---|
| Provider Enumeration Date | 01/01/2015 |
| Last Update Date | 01/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770971517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 71046 (Texas) | Primary |
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