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Susan Liles Wisneski, LPC
Professional Counselor in Dallas, Texas
NPI 1134159908

Susan Liles Wisneski is a Professional Counselor based in Dallas, TX and is specialized in Professional. Susan Liles Wisneski practices in Dallas, TX and has the professional credentials of LPC. The NPI Number for Susan Liles Wisneski is 1134159908 and holds a License No. LPC 15264 (Texas).

The current practice location address for Susan Liles Wisneski is 4054 Mckinney Ave Ste 102, Dallas, TX and can be reached out via phone at 214-520-6308.

Location: 4054 Mckinney Ave Ste 102, Dallas, TX, 75204-2050
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Provider Profile Details
NPI Number
1134159908
Provider Name
Susan Liles Wisneski
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4054 Mckinney Ave Ste 102, Dallas, TX, 75204-2050
Phone Number
214-520-6308
Fax Number
Provider Enumeration Date
07/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84066L 01 BC/BS
9370750 01 PHCS
institution
Provider Business Practice Location Address Details
Address
4054 Mckinney Ave Ste 102
City
State
Zip
75204-2050
Phone Number
214-520-6308
Fax Number
person
Provider Business Mailing Address Details
Address
4054 Mckinney Ave Ste 102
City
State
Zip
75204-2050
Phone Number
214-520-6308
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC 15264 (Texas)
Definition
Definition to come...
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