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1366648206
YANCY TERRANCE STATON
DALLAS, TX
NPI
1366648206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 15447)
Enumeration Date
2007-06-26
Last Update Date
2016-05-31
Business Address
Mr. YANCY TERRANCE STATON LPC
1380 RIVER BEND DR
DALLAS, TX 75247-4914
Phone number: 214-743-6146
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Mailing Address
Mr. YANCY TERRANCE STATON LPC
1515 HERITAGE #110
MCKINNEY, TX 77506
Phone number: 972-562-9647
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