Most Relevant Information
Provider Data
| NPI Number: | 1003238262 |
| Provider Name: | KINETA T HOLSWORTH M.A., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 65381 |
Most Important Dates
| Enumeration Date: | 01/07/2014 |
| Last Updated: | 01/07/2014 |
Provider Practice Location
5351 SAMUELL BLVD
DALLAS
TX
752286720
Practice Location Phone/Fax
| Phone: | 2148182635 |
| Fax: | 2148182645 |
Provider Mailing Location
5351 SAMUELL BLVD
DALLAS
TX
752286720
Provider Mailing Phone/Fax
| Phone: | 2148182635 |
| Fax: | 2148182645 |