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Candis Jai Lavallais, LMHC,LPC
Mental Health Counselor in Dallas, Texas
NPI 1811685704

Candis Jai Lavallais is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. Candis Jai Lavallais practices in Dallas, TX and has the professional credentials of LMHC,LPC. The NPI Number for Candis Jai Lavallais is 1811685704 and holds a License No. 39004495A (Texas).

The current practice location address for Candis Jai Lavallais is 6714 Keswick Dr, Dallas, TX and can be reached out via phone at 317-435-7184.

Location: 6714 Keswick Dr, Dallas, TX, 75232-3315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811685704
Provider Name
Candis Jai Lavallais
Credential
LMHC,LPC
Provider Entity Type
Individual
Gender
Female
Address
6714 Keswick Dr, Dallas, TX, 75232-3315
Phone Number
317-435-7184
Fax Number
Provider Enumeration Date
04/27/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92586 01 TX TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL
institution
Provider Business Practice Location Address Details
Address
6714 Keswick Dr
City
Dallas
State
Texas
Zip
75232-3315
Phone Number
317-435-7184
Fax Number
person
Provider Business Mailing Address Details
Address
6714 Keswick Dr
City
Dallas
State
Texas
Zip
75232-3315
Phone Number
317-435-7184
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39004495A (Indiana)
Definition
Definition to come...
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