Juana Salome Acosta, LPC
Counselor, Mental Health in Dallas, TX. Individual provider (NPI-1).
NPI number1730734690
StatusActive
Last updated in NPPESApr 6, 2020
Details
- NPI
- 1730734690
- Entity type
- Individual (NPI-1)
- Name
- Juana Salome Acosta
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Certification date
- Apr 6, 2020
- Last updated
- Apr 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 78833 | TX | Yes |
Practice location
1818 Corsicana StDallas, TX 75201-6102
Phone 214-266-0000
Mailing address
7402 Red Bud DrDallas, TX 75227-3917
Phone 214-280-6121
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