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1275766180
CODY BLAKE MCCAIN
DALLAS, TX
NPI
1275766180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 63367)
Enumeration Date
2009-08-25
Last Update Date
2017-02-08
Business Address
Mr. CODY BLAKE MCCAIN M.A., LPC
17480 DALLAS PKWY STE 114
DALLAS, TX 75287-7303
Phone number: 214-202-2264
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Mailing Address
Mr. CODY BLAKE MCCAIN M.A., LPC
3718 WHITE RIVER
DALLAS, TX 75287-4814
Phone number: 214-202-2264
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