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Individual
STACY LYNN TATE
Active
Individual
STACY LYNN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87712
TX
101YM0800X
Mental Health Counselor
Primary
87712
TX
101YP2500X
Professional Counselor
87712
TX
Other
Enumeration date
03/27/2023
Last updated
06/25/2024
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