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Diamond Derby
Professional Counselor in Cedar Hill, Texas
NPI 1598346496

Diamond Derby is a Professional Counselor based in Cedar Hill, TX and is specialized in Professional. Diamond Derby practices in Cedar Hill, TX. The NPI Number for Diamond Derby is 1598346496 and holds a License No. 83368 (Texas).

The current practice location address for Diamond Derby is 610 Uptown Blvd # 2Ndf, Cedar Hill, TX and can be reached out via phone at 469-607-0076.

Location: 610 Uptown Blvd # 2Ndf, Cedar Hill, TX, 75104-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598346496
Provider Name
Diamond Derby
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 Uptown Blvd # 2Ndf, Cedar Hill, TX, 75104-3527
Phone Number
469-607-0076
Fax Number
Provider Enumeration Date
04/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 Uptown Blvd # 2Ndf
City
Cedar Hill
State
Texas
Zip
75104-3527
Phone Number
469-607-0076
Fax Number
person
Provider Business Mailing Address Details
Address
610 Uptown Blvd # 2Ndf
City
Cedar Hill
State
Texas
Zip
75104-3527
Phone Number
469-607-0076
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
83368 (Texas)
Definition
Definition to come...
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