Individual provider · Type 1 NPI
Stephanie Diane Durham, LPC
Professional Counselor · Granbury, TX
NPI number
1386319457
Active
Practice location
1112 Sunset Bay Dr
Granbury, TX 76048-1240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 80725 (TX) |
Professional Counselor: Definition to come...
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About NPI 1386319457
Stephanie Diane Durham, LPC's National Provider Identifier is 1386319457, issued on Aug 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Granbury, TX. The record was last updated on Aug 11, 2021.