Doctor Name: | KARINA SHROFF |
NPI Number: | 1003089863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 62526 |
Business Practice Address: | 8625 King George Dr Suite 111 Dallas, TX - 752352215 |
Business Phone Number: | 2146317002 |
Business Fax Number: | 2146316698 |
Mailing Address: | 3607 Cole Ave, Apt 210 DALLAS |
State: | TX |
Postal Code: | 752041442 |
Phone Number: | 2145386612 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 62526 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |