| Intrepid Counseling | |
|
3900 W 15th St Ste 305 Plano TX 75075-4725 | |
| (917) 541-9112 | |
| Not Available |
| Full Name | Intrepid Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3900 W 15th St Ste 305, Plano, Texas |
| Authorized Official Name and Position | Dov Rabinowitz (COUNSELOR) |
| Authorized Official Contact | 9175419112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrepid Counseling 4213 Dickason Ave Apt 1 Dallas TX 75219-3533 Ph: (917) 541-9112 | Intrepid Counseling 3900 W 15th St Ste 305 Plano TX 75075-4725 Ph: (917) 541-9112 |
| NPI Number | 1730619537 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 06/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730619537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12148 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 54998 (Texas) | Primary |
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