person
Ms. Vida June Phoenix, LPC
Professional Counselor in Decatur, Texas
NPI 1962607812

Vida June Phoenix is a Professional Counselor based in Decatur, TX and is specialized in Professional. Vida June Phoenix practices in Decatur, TX and has the professional credentials of LPC. The NPI Number for Vida June Phoenix is 1962607812 and holds a License No. 16923 (Texas).

The current practice location address for Vida June Phoenix is 206 N State St Ste 201, Decatur, TX and can be reached out via phone at 817-368-3875.

Location: 206 N State St Ste 201, Decatur, TX, 76234-1444
person
Provider Profile Details
NPI Number
1962607812
Provider Name
Vida June Phoenix
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
206 N State St Ste 201, Decatur, TX, 76234-1444
Phone Number
817-368-3875
Fax Number
Provider Enumeration Date
06/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
206 N State St Ste 201
City
State
Zip
76234-1444
Phone Number
817-368-3875
Fax Number
person
Provider Business Mailing Address Details
Address
206 N State St Ste 201
City
State
Zip
76234-1444
Phone Number
817-368-3875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16923 (Texas)
Definition
Definition to come...
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