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Mr. Frederick Lynn Theobald, LPC
Mental Health Counselor in Dallas, Texas
NPI 1932523107

Frederick Lynn Theobald is a Mental Health Counselor based in Dallas, TX and is specialized in Mental Health. Frederick Lynn Theobald practices in Dallas, TX and has the professional credentials of LPC. The NPI Number for Frederick Lynn Theobald is 1932523107 and holds a License No. 68573 (Texas).

The current practice location address for Frederick Lynn Theobald is 3402 Oak Grove Ave, Dallas, TX and can be reached out via phone at 214-965-9104.

Location: 3402 Oak Grove Ave, Dallas, TX, 75228-2753
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932523107
Provider Name
Frederick Lynn Theobald
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3402 Oak Grove Ave, Dallas, TX, 75228-2753
Phone Number
214-965-9104
Fax Number
Provider Enumeration Date
02/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3402 Oak Grove Ave
City
Dallas
State
Texas
Zip
75204-2353
Phone Number
214-965-9104
Fax Number
person
Provider Business Mailing Address Details
Address
3402 Oak Grove Ave
City
Dallas
State
Texas
Zip
75204-2353
Phone Number
214-965-9104
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
68573 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
68573 (Texas)
Definition
Definition to come...
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