Provider Demographics
NPI:1831606482
Name:SALEH, YAROUB (LPC)
Entity type:Individual
Prefix:
First Name:YAROUB
Middle Name:
Last Name:SALEH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:YAROB
Other - Middle Name:
Other - Last Name:SALEM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:5303 RIO BRAVO DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1750
Mailing Address - Country:US
Mailing Address - Phone:817-609-1332
Mailing Address - Fax:
Practice Address - Street 1:2435 E SOUTHLAKE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6679
Practice Address - Country:US
Practice Address - Phone:817-812-2880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2018-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63373101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional