Provider Demographics
NPI:1114048097
Name:SVETCOV, DAGMARA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:DAGMARA
Middle Name:
Last Name:SVETCOV
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6604 ERIN LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5438
Mailing Address - Country:US
Mailing Address - Phone:972-793-8488
Mailing Address - Fax:844-726-0543
Practice Address - Street 1:550 S WATTERS RD STE 263
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5231
Practice Address - Country:US
Practice Address - Phone:972-793-8488
Practice Address - Fax:844-726-0543
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45387106H00000X
TX203154106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist