MS. Vida June Phoenix, L.P.C.

NPI #1962607812 in Decatur, Texas

Provider Information

NPI Number
1962607812
Entity Type
Individual
Name
MS. Vida June Phoenix, L.P.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
L.P.C.
Enumeration Date
Jun 20, 2007
Last Updated
Feb 28, 2019

Practice Location

Address
206 N STATE ST STE 201
State
Texas
ZIP Code
76234-1444
Phone
(817) 368-3875

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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