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Individual
MS. TARSYIA MELISSA WADDELL
Active
Individual
MS. TARSYIA MELISSA WADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC.LCDC.CEAP.SAP.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7317
TX
101YP2500X
Professional Counselor
Primary
16012
TX
101YP2500X
Professional Counselor
180002879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156099701
—
TX
Enumeration date
01/12/2007
Last updated
06/27/2011
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