person
Mr. Michael D. Booth, LPC
Mental Health Counselor in Dallas, Texas
NPI 1588672778

Michael D. Booth is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. Michael D. Booth practices in Dallas, TX and has the professional credentials of LPC. The NPI Number for Michael D. Booth is 1588672778 and holds a License No. 18202 (Texas).

The current practice location address for Michael D. Booth is 15150 Preston Rd, Dallas, TX and can be reached out via phone at 972-980-3919 and via fax at 972-980-3921.

Location: 15150 Preston Rd, Dallas, TX, 75248-4877
person
Provider Profile Details
NPI Number
1588672778
Provider Name
Michael D. Booth
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
15150 Preston Rd, Dallas, TX, 75248-4877
Phone Number
972-980-3919
Fax Number
972-980-3921
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83746L 01 TX BLUE CROSS BLUE SHIELD
919832 01 TX USA MANAGED CARE
institution
Provider Business Practice Location Address Details
Address
15150 Preston Rd
City
State
Zip
75248-4877
Phone Number
972-980-3919
Fax Number
972-980-3921
person
Provider Business Mailing Address Details
Address
15150 Preston Rd
City
State
Zip
75248-4877
Phone Number
972-980-3919
Fax Number
972-980-3921
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
18202 (Texas)
Definition
Definition to come...
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