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Organization
STEPHEN TOMUTSA
Active
Organization
STEPHEN TOMUTSA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN TOMUTSA (LICENSED PROFESSIONAL COUNSELOR)
(510) 375-7802
Entity
Organization
Contact information
Practice address
3317 FINLEY RD, STE 120C, IRVING, TX 75062-8722
(510) 375-7802
Mailing address
3317 FINLEY RD, STE 120C, IRVING, TX 75062-8722
(510) 375-7802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12608
TX
101YP2500X
Professional Counselor
Primary
66931
TX
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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