Graduated: 2001
NPI: 1619139441
Practice Locations (2)
COMMUNITY GUIDANCE CENTER
793 OLD ROUTE 119 HWY N
INDIANA, PA 157011372
7244655576
DALLAS COUNTY MENTAL HEALTH AND MENTAL RETARDATION CENTER
9708 SKILLMAN ST
DALLAS, TX 752435150
2147436159
Source: CMS National Downloadable File, September 2026.